National Provider Identifier
Michael Mammoser
Michael Mammoser is listed in the NPPES registry with a primary specialty of Physical Therapist in Orchard Park, NY and a listed phone number of (716) 204-3200.
Profile Overview
- NPI
- 1881324127
- Provider Type
- Individual
- Primary Specialty
- Physical Therapist
- Enumeration Date
- June 10, 2022
- Last Updated
- August 25, 2023
Practice Location
- 5959 Big Tree RD Ste 108
- Orchard Park, NY 14127-2291
Phone: (716) 204-3200
Mailing Address
- 417 Hill RD N
- Pickerington, OH 43147-1310
Specialties
- Physical Therapist (225100000X)
- Physical Therapist (225100000X)
Full Record
- NPI
- 1881324127
- Entity Type
- Individual
- Last Name
- Mammoser
- First Name
- Michael
- Mailing Street Address
- 417 Hill RD N
- Mailing City
- Pickerington
- Mailing State
- OH
- Mailing ZIP Code
- 43147-1310
- Mailing Country
- US
- Practice Street Address
- 5959 Big Tree RD Ste 108
- Practice City
- Orchard Park
- Practice State
- NY
- Practice ZIP Code
- 14127-2291
- Practice Country
- US
- Practice Phone
- (716) 204-3200
- Practice Fax
- (716) 204-4337
- Enumeration Date
- June 10, 2022
- Last Updated
- August 25, 2023
- Sex
- Male
- Sole Proprietor
- No
- Certification Date
- August 25, 2023
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Physical Therapist (225100000X), Physical Therapist (225100000X)