National Provider Identifier

Samantha B Hanes, PT, DPT

Samantha B Hanes, PT, DPT is listed in the NPPES registry with a primary specialty of Physical Therapist in Kenmore, NY and a listed phone number of (716) 874-6175.

NPI 1548043318Kenmore, NYPhysical Therapist

Profile Overview

NPI
1548043318
Provider Type
Individual
Primary Specialty
Physical Therapist
Enumeration Date
August 16, 2023
Last Updated
August 16, 2023

Practice Location

  • 3767 Deleware Ave
  • Kenmore, NY 14217

Phone: (716) 874-6175

Mailing Address

  • 660 E Goundry St
  • North Tonawanda, NY 14120-4836

Specialties

  • Physical Therapist (225100000X)
Full Record
NPI
1548043318
Entity Type
Individual
Last Name
Hanes
First Name
Samantha
Middle Name
B
Credential
PT, DPT
Mailing Street Address
660 E Goundry St
Mailing City
North Tonawanda
Mailing State
NY
Mailing ZIP Code
14120-4836
Mailing Country
US
Mailing Phone
(716) 430-4477
Practice Street Address
3767 Deleware Ave
Practice City
Kenmore
Practice State
NY
Practice ZIP Code
14217
Practice Country
US
Practice Phone
(716) 874-6175
Enumeration Date
August 16, 2023
Last Updated
August 16, 2023
Sex
Female
Sole Proprietor
No
Certification Date
August 14, 2023
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Physical Therapist (225100000X)