National Provider Identifier

Jeremy Peters

Jeremy Peters is listed in the NPPES registry with a primary specialty of Sports Physical Therapist in Rochester, NY and a listed phone number of (585) 341-9150.

NPI 1194028613Rochester, NYSports Physical Therapist

Profile Overview

NPI
1194028613
Provider Type
Individual
Primary Specialty
Sports Physical Therapist
Enumeration Date
December 06, 2010
Last Updated
December 06, 2010

Practice Location

  • 4901 Lac De Ville Blvd # D-110
  • Rochester, NY 14618-5647

Phone: (585) 341-9150

Specialties

  • Sports Physical Therapist (2251S0007X)
Full Record
NPI
1194028613
Entity Type
Individual
Last Name
Peters
First Name
Jeremy
Mailing Street Address
4901 Lac De Ville Blvd # D-110
Mailing City
Rochester
Mailing State
NY
Mailing ZIP Code
14618-5647
Mailing Country
US
Practice Street Address
4901 Lac De Ville Blvd # D-110
Practice City
Rochester
Practice State
NY
Practice ZIP Code
14618-5647
Practice Country
US
Practice Phone
(585) 341-9150
Enumeration Date
December 06, 2010
Last Updated
December 06, 2010
Sex
Male
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Sports Physical Therapist (2251S0007X)