National Provider Identifier
Madison Brunke, PT
Madison Brunke, PT is listed in the NPPES registry with a primary specialty of Physical Therapist in Amherst, NY and a listed phone number of (716) 839-1550.
Profile Overview
- NPI
- 1912765363
- Provider Type
- Individual
- Primary Specialty
- Physical Therapist
- Enumeration Date
- March 11, 2024
- Last Updated
- March 11, 2024
Practice Location
- 4498 Main St Ste 24
- Amherst, NY 14226-3826
Phone: (716) 839-1550
Mailing Address
- PO Box 163
- Ridgeway, Ontario 010
- CA
Specialties
- Physical Therapist (225100000X)
Full Record
- NPI
- 1912765363
- Entity Type
- Individual
- Last Name
- Brunke
- First Name
- Madison
- Credential
- PT
- Mailing Street Address
- PO Box 163
- Mailing City
- Ridgeway
- Mailing State
- Ontario
- Mailing ZIP Code
- 010
- Mailing Country
- CA
- Practice Street Address
- 4498 Main St Ste 24
- Practice City
- Amherst
- Practice State
- NY
- Practice ZIP Code
- 14226-3826
- Practice Country
- US
- Practice Phone
- (716) 839-1550
- Enumeration Date
- March 11, 2024
- Last Updated
- March 11, 2024
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- March 11, 2024
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Physical Therapist (225100000X)