National Provider Identifier

Tracy Lee Disanto, PT

Tracy Lee Disanto, PT is listed in the NPPES registry with a primary specialty of Physical Therapist in Lyons, NY and a listed phone number of (315) 946-2200.

NPI 1659652535Lyons, NYPhysical Therapist

Profile Overview

NPI
1659652535
Provider Type
Individual
Primary Specialty
Physical Therapist
Enumeration Date
September 06, 2011
Last Updated
September 06, 2011

Practice Location

  • 98 William St
  • Lyons, NY 14489-1550

Phone: (315) 946-2200

Mailing Address

  • 12895 Messner RD
  • Savannah, NY 13146-9809

Specialties

  • Physical Therapist (225100000X)
Full Record
NPI
1659652535
Entity Type
Individual
Last Name
Disanto
First Name
Tracy
Middle Name
Lee
Name Prefix
Mrs.
Credential
PT
Mailing Street Address
12895 Messner RD
Mailing City
Savannah
Mailing State
NY
Mailing ZIP Code
13146-9809
Mailing Country
US
Mailing Phone
(315) 365-3362
Practice Street Address
98 William St
Practice City
Lyons
Practice State
NY
Practice ZIP Code
14489-1550
Practice Country
US
Practice Phone
(315) 946-2200
Enumeration Date
September 06, 2011
Last Updated
September 06, 2011
Sex
Female
Sole Proprietor
Yes
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Physical Therapist (225100000X)