National Provider Identifier

David Michael Koeppel

David Michael Koeppel is listed in the NPPES registry with a primary specialty of Physical Therapist in East Aurora, NY and a listed phone number of (716) 458-1990.

NPI 1629797147East Aurora, NYPhysical Therapist

Profile Overview

NPI
1629797147
Provider Type
Individual
Primary Specialty
Physical Therapist
Enumeration Date
August 26, 2022
Last Updated
August 26, 2022

Practice Location

  • 230 Main St
  • East Aurora, NY 14052-1635

Phone: (716) 458-1990

Mailing Address

  • 153 Flohr Ave
  • West Seneca, NY 14224-1819

Specialties

  • Physical Therapist (225100000X)
Full Record
NPI
1629797147
Entity Type
Individual
Last Name
Koeppel
First Name
David
Middle Name
Michael
Mailing Street Address
153 Flohr Ave
Mailing City
West Seneca
Mailing State
NY
Mailing ZIP Code
14224-1819
Mailing Country
US
Mailing Phone
(716) 289-3803
Practice Street Address
230 Main St
Practice City
East Aurora
Practice State
NY
Practice ZIP Code
14052-1635
Practice Country
US
Practice Phone
(716) 458-1990
Enumeration Date
August 26, 2022
Last Updated
August 26, 2022
Sex
Male
Sole Proprietor
No
Certification Date
August 26, 2022
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Physical Therapist (225100000X)