National Provider Identifier
Michelle Lynn Bauer, DPT
Michelle Lynn Bauer, DPT is listed in the NPPES registry with a primary specialty of Physical Therapist in Williamsville, NY and a listed phone number of (716) 630-1020.
Profile Overview
- NPI
- 1700285889
- Provider Type
- Individual
- Primary Specialty
- Physical Therapist
- Enumeration Date
- August 14, 2014
- Last Updated
- October 20, 2015
Practice Location
- 425 Essjay RD
- Suite 170
- Williamsville, NY 14221-5782
Phone: (716) 630-1020
Mailing Address
- 6255 Sheridan Dr
- Suite 304
- Williamsville, NY 14221-4836
Specialties
- Physical Therapist (225100000X)
Full Record
- NPI
- 1700285889
- Entity Type
- Individual
- Last Name
- Bauer
- First Name
- Michelle
- Middle Name
- Lynn
- Credential
- DPT
- Provider Other Last Name
- Owczarczak
- Provider Other First Name
- Michelle
- Provider Other Middle Name
- Lynn
- Provider Other Credential Text
- DPT
- Provider Other Last Name Type Code
- 1
- Mailing Street Address
- 6255 Sheridan Dr
- Mailing Address Line 2
- Suite 304
- Mailing City
- Williamsville
- Mailing State
- NY
- Mailing ZIP Code
- 14221-4836
- Mailing Country
- US
- Mailing Phone
- (716) 857-8666
- Mailing Fax
- (716) 630-1054
- Practice Street Address
- 425 Essjay RD
- Practice Address Line 2
- Suite 170
- Practice City
- Williamsville
- Practice State
- NY
- Practice ZIP Code
- 14221-5782
- Practice Country
- US
- Practice Phone
- (716) 630-1020
- Practice Fax
- (716) 630-1278
- Enumeration Date
- August 14, 2014
- Last Updated
- October 20, 2015
- Sex
- Female
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Physical Therapist (225100000X)