National Provider Identifier

Shane Setlock

Shane Setlock is listed in the NPPES registry with a primary specialty of Physical Therapist in East Amherst, NY and a listed phone number of (716) 688-5709.

NPI 1730808585East Amherst, NYPhysical Therapist

Profile Overview

NPI
1730808585
Provider Type
Individual
Primary Specialty
Physical Therapist
Enumeration Date
August 24, 2022
Last Updated
August 24, 2022

Practice Location

  • 9570 Transit RD
  • East Amherst, NY 14051-1188

Phone: (716) 688-5709

Mailing Address

  • 40 Saint Anthony St
  • Lancaster, NY 14086-2388

Specialties

  • Physical Therapist (225100000X)
Full Record
NPI
1730808585
Entity Type
Individual
Last Name
Setlock
First Name
Shane
Mailing Street Address
40 Saint Anthony St
Mailing City
Lancaster
Mailing State
NY
Mailing ZIP Code
14086-2388
Mailing Country
US
Mailing Phone
(716) 983-6010
Practice Street Address
9570 Transit RD
Practice City
East Amherst
Practice State
NY
Practice ZIP Code
14051-1188
Practice Country
US
Practice Phone
(716) 688-5709
Enumeration Date
August 24, 2022
Last Updated
August 24, 2022
Sex
Male
Sole Proprietor
No
Certification Date
August 24, 2022
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Physical Therapist (225100000X)