Doctor Name: | MRS. KRISTINA LORRAINE BLYTHE |
NPI Number: | 1477803161 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | DPT |
License Number: | 031612-1 |
Business Practice Address: | 4650 Southwestern Blvd Hamburg, NY - 14075 |
Business Phone Number: | 7166467424 |
Business Fax Number: | 7163123001 |
Mailing Address: | 560 Delaware Ave, Suite 400 BUFFALO |
State: | NY |
Postal Code: | 142021212 |
Phone Number: | 7166826201 |
Fax Number: | |
NPI Enumeration Date: | 09/11/2012 |
NPI Last Update Date: | 10/19/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 031612-1 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |