National Provider Identifier

Jenna Marie Bush, DPT

Jenna Marie Bush, DPT is listed in the NPPES registry with a primary specialty of Physical Therapist in Rochester, NY and a listed phone number of (585) 341-9150.

NPI 1205067253Rochester, NYPhysical Therapist

Profile Overview

NPI
1205067253
Provider Type
Individual
Primary Specialty
Physical Therapist
Enumeration Date
August 06, 2009
Last Updated
August 06, 2009

Practice Location

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

Phone: (585) 341-9150

Specialties

  • Physical Therapist (225100000X)
Full Record
NPI
1205067253
Entity Type
Individual
Last Name
Bush
First Name
Jenna
Middle Name
Marie
Name Prefix
MS.
Credential
DPT
Mailing Street Address
4901 Lac De Ville Blvd
Mailing Address Line 2
Building D, Suite 110
Mailing City
Rochester
Mailing State
NY
Mailing ZIP Code
14618-5647
Mailing Country
US
Mailing Phone
(585) 341-9150
Mailing Fax
(585) 340-9745
Practice Street Address
4901 Lac De Ville Blvd
Practice Address Line 2
Building D, Suite 110
Practice City
Rochester
Practice State
NY
Practice ZIP Code
14618-5647
Practice Country
US
Practice Phone
(585) 341-9150
Practice Fax
(585) 340-9745
Enumeration Date
August 06, 2009
Last Updated
August 06, 2009
Sex
Female
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Physical Therapist (225100000X)