Provider Demographics
NPI:1518176783
Name:RAINVILLE, MICHAEL FRANCOIS (MPT)
Entity Type:Individual
Prefix:MR
First Name:MICHAEL
Middle Name:FRANCOIS
Last Name:RAINVILLE
Suffix:
Gender:M
Credentials:MPT
Other - Prefix:
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Mailing Address - Street 1:192 PARK CLUB LN
Mailing Address - Street 2:SUITE 110
Mailing Address - City:WILLIAMSVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:14221
Mailing Address - Country:US
Mailing Address - Phone:716-632-9200
Mailing Address - Fax:716-632-1730
Practice Address - Street 1:192 PARK CLUB LN
Practice Address - Street 2:SUITE 110
Practice Address - City:WILLIAMSVILLE
Practice Address - State:NY
Practice Address - Zip Code:14221
Practice Address - Country:US
Practice Address - Phone:716-632-9200
Practice Address - Fax:716-632-1730
Is Sole Proprietor?:No
Enumeration Date:2007-05-22
Last Update Date:2009-09-29
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY028568-1225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist