Individual
MICHELLE RICHEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1495 MILITARY RD, KENMORE, NY 14217-1339
(716) 447-6037
(716) 447-6575
Mailing address
128 HILTON BLVD, BUFFALO, NY 14226-1417
(716) 903-3703
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
004961-1
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
160762843
—
NY
Enumeration date
12/19/2016
Last updated
12/19/2016
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