National Provider Identifier
Justin Ertel-Redfield, LMT
Justin Ertel-Redfield, LMT is listed in the NPPES registry with a primary specialty of Mechanotherapist in Williamsville, NY and a listed phone number of (716) 616-9000.
Profile Overview
- NPI
- 1578917365
- Provider Type
- Individual
- Primary Specialty
- Mechanotherapist
- Enumeration Date
- April 18, 2016
- Last Updated
- April 18, 2016
Practice Location
- 8600 Main St
- Suite 2
- Williamsville, NY 14221-7464
Phone: (716) 616-9000
Mailing Address
- 8600 Main St.
- Suite 2
- Williamsville, NY 14221
Specialties
- Mechanotherapist (172M00000X)
Full Record
- NPI
- 1578917365
- Entity Type
- Individual
- Last Name
- Ertel-Redfield
- First Name
- Justin
- Credential
- LMT
- Mailing Street Address
- 8600 Main St.
- Mailing Address Line 2
- Suite 2
- Mailing City
- Williamsville
- Mailing State
- NY
- Mailing ZIP Code
- 14221
- Mailing Country
- US
- Mailing Phone
- (716) 616-9000
- Mailing Fax
- (716) 408-3222
- Practice Street Address
- 8600 Main St
- Practice Address Line 2
- Suite 2
- Practice City
- Williamsville
- Practice State
- NY
- Practice ZIP Code
- 14221-7464
- Practice Country
- US
- Practice Phone
- (716) 616-9000
- Practice Fax
- (716) 408-3222
- Enumeration Date
- April 18, 2016
- Last Updated
- April 18, 2016
- Sex
- Male
- Sole Proprietor
- Yes
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Mechanotherapist (172M00000X)