MEDICARE: PAUL KREHER P.T.

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
1	174400000X	Specialist	017672	NY

General Provider Information

NPI Number	:	1760481089
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	PAUL KREHER P.T.

Provider Business Mailing Address
First Line	:	4188 LAKEVILLE RD
Second Line	:
City	:	GENESEO
State	:	NY
Zip	:	14454-1134
Country	:	US
Telephone Number	:	585-243-9150
Fax Number	:	585-243-4814

Provider Business Practice Location Address
First Line	:	4188 LAKEVILLE RD
Second Line	:
City	:	GENESEO
State	:	NY
Zip	:	14454-1134
Country	:	US
Telephone Number	:	585-243-9150
Fax Number	:	585-243-4814

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/19/2005
Last Update Date	:	07/08/2007

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