National Provider Identifier

Lynn Marie Northup, PT

Lynn Marie Northup, PT is listed in the NPPES registry with a primary specialty of Physical Therapist in Avon, NY and a listed phone number of (585) 226-2455.

NPI 1730457599Avon, NYPhysical Therapist

Profile Overview

NPI
1730457599
Provider Type
Individual
Primary Specialty
Physical Therapist
Enumeration Date
December 08, 2011
Last Updated
December 08, 2011

Practice Location

  • 191 Clinton St
  • Avon, NY 14414-1413

Phone: (585) 226-2455

Mailing Address

  • 27 Hutton Cir
  • Churchville, NY 14428-9107

Specialties

  • Physical Therapist (225100000X)
Full Record
NPI
1730457599
Entity Type
Individual
Last Name
Northup
First Name
Lynn
Middle Name
Marie
Credential
PT
Mailing Street Address
27 Hutton Cir
Mailing City
Churchville
Mailing State
NY
Mailing ZIP Code
14428-9107
Mailing Country
US
Mailing Phone
(585) 293-2096
Practice Street Address
191 Clinton St
Practice City
Avon
Practice State
NY
Practice ZIP Code
14414-1413
Practice Country
US
Practice Phone
(585) 226-2455
Enumeration Date
December 08, 2011
Last Updated
December 08, 2011
Sex
Female
Sole Proprietor
Yes
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Physical Therapist (225100000X)