Mr. Kent Russell Tiv Siady, PT
Mr. Kent Russell Tiv Siady, PT is a Physical Therapist in Elmhurst, New York. Licensed in New York. Registered with an NPI since 2020.
- Licensed in
- NY
- In the registry since
- 2020
What do these letters mean?
- PT — Physical Therapist
- A licensed therapist who treats movement, pain and injury.
Practice location Address checks out
8529 58th AveElmhurst, NY 11373
Phone: (929) 282-8973
Fax: (718) 218-8878
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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 045730 (NY) |
|---|
Record details
| NPI number | 1265068407 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | PT |
| Sole proprietor | No |
| NPI enumerated | March 19, 2020 |
| Last updated in NPPES | June 19, 2023 |
| Certification date | June 19, 2023 |
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