National Provider Identifier
Kelly Sue Gaygen, PT
Kelly Sue Gaygen, PT is listed in the NPPES registry with a primary specialty of Physical Therapist in Lockport, NY and a listed phone number of (716) 266-5252.
Profile Overview
- NPI
- 1730809443
- Provider Type
- Individual
- Primary Specialty
- Physical Therapist
- Enumeration Date
- September 01, 2022
- Last Updated
- June 16, 2025
Practice Location
- 397 Davison RD
- Lockport, NY 14094-4005
Phone: (716) 266-5252
Mailing Address
- PO Box 287
- Gasport, NY 14067
Specialties
- Physical Therapist (225100000X)
- Physical Therapist (225100000X)
Full Record
- NPI
- 1730809443
- Entity Type
- Individual
- Last Name
- Gaygen
- First Name
- Kelly
- Middle Name
- Sue
- Credential
- PT
- Provider Other Last Name
- Gaygen
- Provider Other First Name
- Kelly
- Provider Other Credential Text
- KELLY GAYGEN, BSPT
- Provider Other Last Name Type Code
- 2
- Mailing Street Address
- PO Box 287
- Mailing City
- Gasport
- Mailing State
- NY
- Mailing ZIP Code
- 14067
- Mailing Country
- US
- Mailing Phone
- (716) 255-6262
- Practice Street Address
- 397 Davison RD
- Practice City
- Lockport
- Practice State
- NY
- Practice ZIP Code
- 14094-4005
- Practice Country
- US
- Practice Phone
- (716) 266-5252
- Practice Fax
- (716) 546-2223
- Enumeration Date
- September 01, 2022
- Last Updated
- June 16, 2025
- Sex
- Female
- Sole Proprietor
- Yes
- Taxonomy Group 2
- 193400000X Single Specialty Group
- Certification Date
- June 16, 2025
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Physical Therapist (225100000X), Physical Therapist (225100000X)