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NPI Code Detail

MEDICARE: PAUL KREHER P.T.

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
1174400000XSpecialist017672NY

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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