Healthcare Provider Details
I. General information
NPI: 1720454556
Provider Name (Legal Business Name): CHRISTOPHER SAXTON PT, DPT
Entity Type: Individual
Gender: Male
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 08/17/2015
Last Update Date: 08/17/2015
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
15 S MAIN ST SUITE 220
JAMESTOWN NY
14701-6626
US
IV. Provider business mailing address
15 S MAIN ST SUITE 220
JAMESTOWN NY
14701-6626
US
V. Phone/Fax
- Phone: 716-488-2322
- Fax: 716-488-2574
- Phone: 716-488-2322
- Fax: 716-488-2574
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 225100000X |
| Taxonomy | Physical Therapist |
| License Number | 039379 |
| License Number State | NY |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: