National Provider Identifier

Kristen Michelle Hayes, PTA

Kristen Michelle Hayes, PTA is listed in the NPPES registry with a primary specialty of Physical Therapy Assistant in Lewiston, NY and a listed phone number of (716) 298-2900.

NPI 1720697618Lewiston, NYPhysical Therapy Assistant

Profile Overview

NPI
1720697618
Provider Type
Individual
Primary Specialty
Physical Therapy Assistant
Enumeration Date
July 27, 2020
Last Updated
July 27, 2020

Practice Location

  • 5285 Lewiston RD
  • Lewiston, NY 14092-1942

Phone: (716) 298-2900

Mailing Address

  • 2422 Stoelting St
  • Niagara Falls, NY 14304-2042

Specialties

  • Physical Therapy Assistant (225200000X)
Full Record
NPI
1720697618
Entity Type
Individual
Last Name
Hayes
First Name
Kristen
Middle Name
Michelle
Credential
PTA
Provider Other Last Name
Haseley
Provider Other First Name
Kristen
Provider Other Middle Name
Michelle
Provider Other Last Name Type Code
1
Mailing Street Address
2422 Stoelting St
Mailing City
Niagara Falls
Mailing State
NY
Mailing ZIP Code
14304-2042
Mailing Country
US
Mailing Phone
(716) 913-1897
Practice Street Address
5285 Lewiston RD
Practice City
Lewiston
Practice State
NY
Practice ZIP Code
14092-1942
Practice Country
US
Practice Phone
(716) 298-2900
Enumeration Date
July 27, 2020
Last Updated
July 27, 2020
Sex
Female
Sole Proprietor
Yes
Certification Date
July 27, 2020
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Physical Therapy Assistant (225200000X)