Provider Demographics
NPI:1689448474
Name:ADORE YOUR CORE PHYSICAL THERAPY, PLLC
Entity Type:Organization
Organization Name:ADORE YOUR CORE PHYSICAL THERAPY, PLLC
Other - Org Name:ADORE YOUR CORE PHYSICAL THERAPY, PLLC
Other - Org Type:Other Name
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:RACQUEL
Authorized Official - Middle Name:
Authorized Official - Last Name:KURZWEG
Authorized Official - Suffix:
Authorized Official - Credentials:DPT
Authorized Official - Phone:716-275-6682
Mailing Address - Street 1:1408 SWEET HOME RD STE 5
Mailing Address - Street 2:
Mailing Address - City:AMHERST
Mailing Address - State:NY
Mailing Address - Zip Code:14228-2783
Mailing Address - Country:US
Mailing Address - Phone:716-275-6682
Mailing Address - Fax:
Practice Address - Street 1:1408 SWEET HOME RD STE 5
Practice Address - Street 2:
Practice Address - City:AMHERST
Practice Address - State:NY
Practice Address - Zip Code:14228-2783
Practice Address - Country:US
Practice Address - Phone:716-275-6682
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-11-13
Last Update Date:2023-11-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty
No225200000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapy AssistantGroup - Multi-Specialty