Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Kelly M Zawacki, PT

Individual provider Physical Therapist · NPI 1194811125

Kelly M Zawacki, PT is a Physical Therapist in Fayetteville, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2006
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.

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Practice location Address checks out

510 Towne Dr Ste 100
Fayetteville, NY 13066-1331
Phone: (315) 637-4747
Fax: (315) 637-6711
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 014387 (NY)

Record details

NPI number1194811125
Entity typeIndividual (Type 1)
GenderFemale
Credentials PT
Sole proprietorYes
NPI enumeratedOctober 5, 2006
Last updated in NPPESJuly 6, 2010

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