National Provider Identifier

Jacob Belcher, PT

Jacob Belcher, PT is listed in the NPPES registry with a primary specialty of Physical Therapist in Lyons, NY and a listed phone number of (315) 402-5524.

NPI 1649874769Lyons, NYPhysical Therapist

Profile Overview

NPI
1649874769
Provider Type
Individual
Primary Specialty
Physical Therapist
Enumeration Date
November 30, 2020
Last Updated
November 30, 2020

Practice Location

  • 1529 Nye RD
  • Lyons, NY 14489-9111

Phone: (315) 402-5524

Mailing Address

  • 851 Forest Ave
  • Fulton, NY 13069-3453

Specialties

  • Physical Therapist (225100000X)
Full Record
NPI
1649874769
Entity Type
Individual
Last Name
Belcher
First Name
Jacob
Credential
PT
Mailing Street Address
851 Forest Ave
Mailing City
Fulton
Mailing State
NY
Mailing ZIP Code
13069-3453
Mailing Country
US
Mailing Phone
(315) 402-5524
Practice Street Address
1529 Nye RD
Practice City
Lyons
Practice State
NY
Practice ZIP Code
14489-9111
Practice Country
US
Practice Phone
(315) 402-5524
Enumeration Date
November 30, 2020
Last Updated
November 30, 2020
Sex
Male
Sole Proprietor
No
Certification Date
November 30, 2020
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Physical Therapist (225100000X)