IndividualActive
Agnes Formejster, PTA
NPI 1760560627 · Physical Therapy Assistant · Springfield, MA
Provider details
- NPI number
- 1760560627
- Entity type
- Individual
- Primary specialty
- Physical Therapy AssistantRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- PTA
- Sex
- Female
- Sole proprietor
- No
- License
- 3436 (MA)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
300 Stafford St
Suite 360
Springfield, MA 01104-3581
Phone: (413) 734-8440
Fax: (413) 731-6703
Approximate (ZIP-level) locationGet directions
Mailing address
300 Stafford St
Springfield, MA 01104-3581
Registry dates
- Enumerated
- 2006-11-01
- Last updated
- 2007-07-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.