National Provider Identifier

Phillip J Kaczmarek, D.C., P.T.

Phillip J Kaczmarek, D.C., P.T. is listed in the NPPES registry with a primary specialty of Physical Therapist in Cheektowaga, NY and a listed phone number of (716) 656-0200.

NPI 1679657639Cheektowaga, NYPhysical Therapist

Profile Overview

NPI
1679657639
Provider Type
Individual
Primary Specialty
Physical Therapist
Enumeration Date
October 25, 2006
Last Updated
September 30, 2014

Practice Location

  • 2448 Union RD
  • Cheektowaga, NY 14227-2230

Phone: (716) 656-0200

Specialties

  • Physical Therapist (225100000X)
  • Rehabilitation Chiropractor (111NR0400X)
Full Record
NPI
1679657639
Entity Type
Individual
Last Name
Kaczmarek
First Name
Phillip
Middle Name
J
Name Prefix
Dr.
Credential
D.C., P.T.
Mailing Street Address
2448 Union RD
Mailing City
Cheektowaga
Mailing State
NY
Mailing ZIP Code
14227-2230
Mailing Country
US
Mailing Phone
(716) 656-0200
Mailing Fax
(716) 656-0055
Practice Street Address
2448 Union RD
Practice City
Cheektowaga
Practice State
NY
Practice ZIP Code
14227-2230
Practice Country
US
Practice Phone
(716) 656-0200
Practice Fax
(716) 656-0055
Enumeration Date
October 25, 2006
Last Updated
September 30, 2014
Sex
Male
Sole Proprietor
Yes
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Physical Therapist (225100000X), Rehabilitation Chiropractor (111NR0400X)
Other Identifiers
9311595 (NY, Independent Health, PT), 00025998702 (NY, Univera, PT), 006268201 (NY, Community Blue, PT)