National Provider Identifier
Kenneth Marshall
Kenneth Marshall is listed in the NPPES registry with a primary specialty of Physical Therapist in Rochester, NY and a listed phone number of (585) 500-4565.
Profile Overview
- NPI
- 1023415940
- Provider Type
- Individual
- Primary Specialty
- Physical Therapist
- Enumeration Date
- November 20, 2014
- Last Updated
- November 20, 2014
Practice Location
- 12 Lilac Dr
- Apt 1
- Rochester, NY 14620-3268
Phone: (585) 500-4565
Specialties
- Physical Therapist (225100000X)
Full Record
- NPI
- 1023415940
- Entity Type
- Individual
- Last Name
- Marshall
- First Name
- Kenneth
- Mailing Street Address
- 12 Lilac Dr
- Mailing Address Line 2
- Apt 1
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14620-3268
- Mailing Country
- US
- Mailing Phone
- (585) 500-4565
- Practice Street Address
- 12 Lilac Dr
- Practice Address Line 2
- Apt 1
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14620-3268
- Practice Country
- US
- Practice Phone
- (585) 500-4565
- Enumeration Date
- November 20, 2014
- Last Updated
- November 20, 2014
- Sex
- Male
- Sole Proprietor
- No
- Taxonomies
- Physical Therapist (225100000X)