National Provider Identifier
John Jack Liebner Jr., PT
John Jack Liebner Jr., PT is listed in the NPPES registry with a primary specialty of Physical Therapist in Buffalo, NY and a listed phone number of (716) 862-6787.
Profile Overview
- NPI
- 1972526051
- Provider Type
- Individual
- Primary Specialty
- Physical Therapist
- Enumeration Date
- July 26, 2006
- Last Updated
- July 08, 2007
Practice Location
- 3495 Bailey Ave
- Buffalo, NY 14215-1129
Phone: (716) 862-6787
Mailing Address
- 171 Fayette Ave
- Buffalo, NY 14223-2707
Specialties
- Physical Therapist (225100000X)
Full Record
- NPI
- 1972526051
- Entity Type
- Individual
- Last Name
- Liebner
- First Name
- John
- Middle Name
- Jack
- Name Prefix
- Mr.
- Name Suffix
- Jr.
- Credential
- PT
- Mailing Street Address
- 171 Fayette Ave
- Mailing City
- Buffalo
- Mailing State
- NY
- Mailing ZIP Code
- 14223-2707
- Mailing Country
- US
- Mailing Phone
- (716) 833-7206
- Practice Street Address
- 3495 Bailey Ave
- Practice City
- Buffalo
- Practice State
- NY
- Practice ZIP Code
- 14215-1129
- Practice Country
- US
- Practice Phone
- (716) 862-6787
- Enumeration Date
- July 26, 2006
- Last Updated
- July 08, 2007
- Sex
- Male
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Physical Therapist (225100000X)