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Kailey Christine Baskerville

Physical Therapist in Orchard Park, NY. Individual provider (NPI-1).

NPI number1336801034
StatusActive
Last updated in NPPESJan 7, 2026

Details

NPI
1336801034
Entity type
Individual (NPI-1)
Name
Kailey Christine Baskerville
Sex
Female
Sole proprietor
No
Enumeration date
Oct 10, 2021
Certification date
Jan 7, 2026
Last updated
Jan 7, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225100000X Physical Therapist04782501NYYes

Practice location

6167 W Quaker St
Orchard Park, NY 14127-2640

Phone 716-662-4800

Mailing address

6167 W Quaker St
Orchard Park, NY 14127-2640

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