National Provider Identifier
Katie Weller
Katie Weller is listed in the NPPES registry with a primary specialty of Pediatric Physical Therapist in Kenmore, NY and a listed phone number of (716) 874-6175.
Profile Overview
- NPI
- 1962058206
- Provider Type
- Individual
- Primary Specialty
- Pediatric Physical Therapist
- Enumeration Date
- August 13, 2019
- Last Updated
- January 28, 2025
Practice Location
- 3767 Delaware Ave
- Kenmore, NY 14217-1040
Phone: (716) 874-6175
Mailing Address
- 130 S Meadow Dr
- North Tonawanda, NY 14120-4825
Specialties
- Pediatric Physical Therapist (2251P0200X)
Full Record
- NPI
- 1962058206
- Entity Type
- Individual
- Last Name
- Weller
- First Name
- Katie
- Mailing Street Address
- 130 S Meadow Dr
- Mailing City
- North Tonawanda
- Mailing State
- NY
- Mailing ZIP Code
- 14120-4825
- Mailing Country
- US
- Mailing Phone
- (716) 291-4513
- 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
- August 13, 2019
- Last Updated
- January 28, 2025
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- January 28, 2025
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Pediatric Physical Therapist (2251P0200X)