MEDICARE: SUSAN GEISLER

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	225100000X	Physical Therapist	008456-1	NY

General Provider Information

NPI Number	:	1821064908
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SUSAN GEISLER

Provider Business Mailing Address
First Line	:	566 HEATH ST APT 2
Second Line	:
City	:	CHESTNUT HILL
State	:	MA
Zip	:	02467-2244
Country	:	US
Telephone Number	:	607-351-5371
Fax Number	:

Provider Business Practice Location Address
First Line	:	830 BOYLSTON ST STE 208
Second Line	:
City	:	CHESTNUT HILL
State	:	MA
Zip	:	02467-2519
Country	:	US
Telephone Number	:	617-754-5376
Fax Number	:	617-754-5578

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

Provider Enumeration Date	:	02/27/2006
Last Update Date	:	08/04/2023

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Directions to “ SUSAN GEISLER ” Practice Location

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