Doctor Name: | MR. DANIEL G KINGSLEY |
NPI Number: | 1619940756 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PT, OCS, COMT, CSCS |
License Number: | 020163 |
Business Practice Address: | 1398 Route 5 W Chittenango, NY - 13037 |
Business Phone Number: | 3155103372 |
Business Fax Number: | 3155103688 |
Mailing Address: | 1398 Route 5 W, CHITTENANGO |
State: | NY |
Postal Code: | 13037 |
Phone Number: | 3155103372 |
Fax Number: | 3155103688 |
NPI Enumeration Date: | 02/09/2006 |
NPI Last Update Date: | 08/15/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2251S0007X |
License Number: | 020163 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | NY |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | Sports |
Taxonomy Definition: |