National Provider Identifier

Mackenzie Ann Jurek

Mackenzie Ann Jurek is listed in the NPPES registry with a primary specialty of Physical Therapy Assistant in Kenmore, NY and a listed phone number of (716) 874-6175.

NPI 1467229765Kenmore, NYPhysical Therapy Assistant

Profile Overview

NPI
1467229765
Provider Type
Individual
Primary Specialty
Physical Therapy Assistant
Enumeration Date
December 06, 2023
Last Updated
December 06, 2023

Practice Location

  • 3767 Delaware Ave
  • Kenmore, NY 14217-1040

Phone: (716) 874-6175

Specialties

  • Physical Therapy Assistant (225200000X)
Full Record
NPI
1467229765
Entity Type
Individual
Last Name
Jurek
First Name
Mackenzie
Middle Name
Ann
Mailing Street Address
3767 Delaware Ave
Mailing City
Kenmore
Mailing State
NY
Mailing ZIP Code
14217-1040
Mailing Country
US
Mailing Phone
(716) 874-6175
Practice Street Address
3767 Delaware Ave
Practice City
Kenmore
Practice State
NY
Practice ZIP Code
14217-1040
Practice Country
US
Practice Phone
(716) 874-6175
Practice Fax
(716) 874-6175
Enumeration Date
December 06, 2023
Last Updated
December 06, 2023
Sex
Female
Sole Proprietor
No
Certification Date
December 06, 2023
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Physical Therapy Assistant (225200000X)