National Provider Identifier

Kyle R Adams, PT, DPT, CSCS, OCS, FAA

Kyle R Adams, PT, DPT, CSCS, OCS, FAA is listed in the NPPES registry with a primary specialty of Physical Therapist in Ithaca, NY and a listed phone number of (607) 252-3500.

NPI 1720088073Ithaca, NYPhysical Therapist

Profile Overview

NPI
1720088073
Provider Type
Individual
Primary Specialty
Physical Therapist
Enumeration Date
July 28, 2005
Last Updated
February 08, 2017

Practice Location

  • 310 Taughannock Blvd
  • Suite 1C
  • Ithaca, NY 14850

Phone: (607) 252-3500

Specialties

  • Physical Therapist (225100000X)
  • Physical Therapist (225100000X)
Full Record
NPI
1720088073
Entity Type
Individual
Last Name
Adams
First Name
Kyle
Middle Name
R
Name Prefix
Mr.
Credential
PT, DPT, CSCS, OCS, FAA
Mailing Street Address
310 Taughannock Blvd
Mailing Address Line 2
Suite 1C
Mailing City
Ithaca
Mailing State
NY
Mailing ZIP Code
14850
Mailing Country
US
Mailing Phone
(607) 252-3500
Mailing Fax
(607) 252-3505
Practice Street Address
310 Taughannock Blvd
Practice Address Line 2
Suite 1C
Practice City
Ithaca
Practice State
NY
Practice ZIP Code
14850
Practice Country
US
Practice Phone
(607) 252-3500
Practice Fax
(607) 252-3505
Enumeration Date
July 28, 2005
Last Updated
February 08, 2017
Sex
Male
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Physical Therapist (225100000X), Physical Therapist (225100000X)