National Provider Identifier
Lisa Christine Petty, PT, DPT
Lisa Christine Petty, PT, DPT is listed in the NPPES registry with a primary specialty of Physical Therapist in Kenmore, NY and a listed phone number of (716) 874-6175.
Profile Overview
- NPI
- 1841718632
- Provider Type
- Individual
- Primary Specialty
- Physical Therapist
- Enumeration Date
- September 01, 2017
- Last Updated
- September 01, 2017
Practice Location
- 3767 Delaware Ave
- Kenmore, NY 14217-1040
Phone: (716) 874-6175
Mailing Address
- 1395 Master St
- North Tonawanda, NY 14120-2209
Specialties
- Physical Therapist (225100000X)
Full Record
- NPI
- 1841718632
- Entity Type
- Individual
- Last Name
- Petty
- First Name
- Lisa
- Middle Name
- Christine
- Credential
- PT, DPT
- Mailing Street Address
- 1395 Master St
- Mailing City
- North Tonawanda
- Mailing State
- NY
- Mailing ZIP Code
- 14120-2209
- Mailing Country
- US
- Mailing Phone
- (716) 812-7553
- Practice Street Address
- 3767 Delaware Ave
- Practice City
- Kenmore
- Practice State
- NY
- Practice ZIP Code
- 14217-1040
- Practice Country
- US
- Practice Phone
- (716) 874-6175
- Enumeration Date
- September 01, 2017
- Last Updated
- September 01, 2017
- Sex
- Female
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Physical Therapist (225100000X)