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NPI Code Detail

MEDICARE: KATHERINE PATRICIA HETTRICH MPT

MEDICARE: KATHERINE PATRICIA HETTRICH MPT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225100000XPhysical Therapist17463NY
2225100000XPhysical TherapistPT44127FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
111225860OTHERNYCAQH

General Provider Information

NPI Number : 1548355316
Entity Type Code : Individual
Provider Name (Legal Business Name) : KATHERINE PATRICIA HETTRICH MPT
Provider Business Mailing Address
First Line : 121 CAPE COD WAY
Second Line :
City : ROCHESTER
State : NY
Zip : 14623-5403
Country : US
Telephone Number : 585-230-9267
Fax Number :
Provider Business Practice Location Address
First Line : 125 RED CREEK DR
Second Line : SUITE 210
City : ROCHESTER
State : NY
Zip : 14623-4272
Country : US
Telephone Number : 585-334-8104
Fax Number : 585-334-8104
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/04/2006
Last Update Date : 04/16/2026

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Directions to “ KATHERINE PATRICIA HETTRICH MPT” Practice Location

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