National Provider Identifier

Kyle Backal, DPT

Kyle Backal, DPT is listed in the NPPES registry with a primary specialty of Physical Therapist in Newark, NY and a listed phone number of (315) 332-2722.

NPI 1992175566Newark, NYPhysical Therapist

Profile Overview

NPI
1992175566
Provider Type
Individual
Primary Specialty
Physical Therapist
Enumeration Date
September 25, 2015
Last Updated
August 30, 2018

Practice Location

  • 100 Sunset Dr
  • Newark, NY 14513

Phone: (315) 332-2722

Mailing Address

  • 5960 Woodside Cir
  • Farmington, NY 14425-7082

Specialties

  • Physical Therapist (225100000X)
  • Physical Therapist (225100000X)
Full Record
NPI
1992175566
Entity Type
Individual
Last Name
Backal
First Name
Kyle
Name Prefix
Dr.
Credential
DPT
Mailing Street Address
5960 Woodside Cir
Mailing City
Farmington
Mailing State
NY
Mailing ZIP Code
14425-7082
Mailing Country
US
Practice Street Address
100 Sunset Dr
Practice City
Newark
Practice State
NY
Practice ZIP Code
14513
Practice Country
US
Practice Phone
(315) 332-2722
Enumeration Date
September 25, 2015
Last Updated
August 30, 2018
Sex
Male
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Physical Therapist (225100000X), Physical Therapist (225100000X)