National Provider Identifier

Theresa C Barry

Theresa C Barry is listed in the NPPES registry with a primary specialty of Sports Physical Therapist in Macedon, NY and a listed phone number of (315) 986-4655.

NPI 1043617004Macedon, NYSports Physical Therapist

Profile Overview

NPI
1043617004
Provider Type
Individual
Primary Specialty
Sports Physical Therapist
Enumeration Date
November 19, 2014
Last Updated
November 19, 2014

Practice Location

  • 1900 Route 31
  • Suite 12
  • Macedon, NY 14502-8943

Phone: (315) 986-4655

Specialties

  • Sports Physical Therapist (2251S0007X)
Full Record
NPI
1043617004
Entity Type
Individual
Last Name
Barry
First Name
Theresa
Middle Name
C
Mailing Street Address
1900 Route 31
Mailing Address Line 2
Suite 12
Mailing City
Macedon
Mailing State
NY
Mailing ZIP Code
14502-8943
Mailing Country
US
Mailing Phone
(315) 986-4655
Mailing Fax
(315) 986-5901
Practice Street Address
1900 Route 31
Practice Address Line 2
Suite 12
Practice City
Macedon
Practice State
NY
Practice ZIP Code
14502-8943
Practice Country
US
Practice Phone
(315) 986-4655
Practice Fax
(315) 986-5901
Enumeration Date
November 19, 2014
Last Updated
November 19, 2014
Sex
Female
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Sports Physical Therapist (2251S0007X)