National Provider Identifier

Kristina Lorraine Blythe, DPT

Kristina Lorraine Blythe, DPT is listed in the NPPES registry with a primary specialty of Physical Therapist in Hamburg, NY and a listed phone number of (716) 646-7424.

NPI 1477803161Hamburg, NYPhysical Therapist

Profile Overview

NPI
1477803161
Provider Type
Individual
Primary Specialty
Physical Therapist
Enumeration Date
September 11, 2012
Last Updated
October 19, 2012

Practice Location

  • 4650 Southwestern Blvd
  • Hamburg, NY 14075

Phone: (716) 646-7424

Mailing Address

  • 560 Delaware Ave
  • Suite 400
  • Buffalo, NY 14202-1212

Specialties

  • Physical Therapist (225100000X)
Full Record
NPI
1477803161
Entity Type
Individual
Last Name
Blythe
First Name
Kristina
Middle Name
Lorraine
Name Prefix
Mrs.
Credential
DPT
Provider Other Last Name
Jarosz
Provider Other First Name
Kristina
Provider Other Middle Name
Lorraine
Provider Other Name Prefix Text
Miss
Provider Other Credential Text
DPT
Provider Other Last Name Type Code
1
Mailing Street Address
560 Delaware Ave
Mailing Address Line 2
Suite 400
Mailing City
Buffalo
Mailing State
NY
Mailing ZIP Code
14202-1212
Mailing Country
US
Mailing Phone
(716) 682-6201
Practice Street Address
4650 Southwestern Blvd
Practice City
Hamburg
Practice State
NY
Practice ZIP Code
14075
Practice Country
US
Practice Phone
(716) 646-7424
Practice Fax
(716) 312-3001
Enumeration Date
September 11, 2012
Last Updated
October 19, 2012
Sex
Female
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Physical Therapist (225100000X)