Individual
AMY HARTL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT, CMLDT, BCTMB
Contact information
Practice address
726 MAIN ST, 3RD FLOOR, EAST AURORA, NY 14052-1904
(703) 472-8278
Mailing address
196 W TUPPER ST, BUFFALO, NY 14201-2145
(703) 472-8278
Taxonomy
Speciality
Code
Description
License number
State
172M00000X
Mechanotherapist
Primary
029431
NY
Other
Enumeration date
03/18/2017
Last updated
11/06/2024
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