National Provider Identifier
Kearsten Fish, PT DPT
Kearsten Fish, PT DPT is listed in the NPPES registry with a primary specialty of Physical Therapist in Tonawanda, NY and a listed phone number of (716) 213-0772.
Profile Overview
- NPI
- 1255700795
- Provider Type
- Individual
- Primary Specialty
- Physical Therapist
- Enumeration Date
- September 15, 2015
- Last Updated
- April 14, 2021
Practice Location
- 350 Greenhaven Ter
- Tonawanda, NY 14150-5547
Phone: (716) 213-0772
Mailing Address
- Box 8000
- Department 314
- Buffalo, NY 14267-0002
Specialties
- Physical Therapist (225100000X)
Full Record
- NPI
- 1255700795
- Entity Type
- Individual
- Last Name
- Fish
- First Name
- Kearsten
- Credential
- PT DPT
- Provider Other Last Name
- Renzi
- Provider Other First Name
- Kearsten
- Provider Other Credential Text
- PT DPT
- Provider Other Last Name Type Code
- 1
- Mailing Street Address
- Box 8000
- Mailing Address Line 2
- Department 314
- Mailing City
- Buffalo
- Mailing State
- NY
- Mailing ZIP Code
- 14267-0002
- Mailing Country
- US
- Mailing Phone
- (716) 213-0772
- Mailing Fax
- (716) 324-5004
- Practice Street Address
- 350 Greenhaven Ter
- Practice City
- Tonawanda
- Practice State
- NY
- Practice ZIP Code
- 14150-5547
- Practice Country
- US
- Practice Phone
- (716) 213-0772
- Practice Fax
- (716) 213-0773
- Enumeration Date
- September 15, 2015
- Last Updated
- April 14, 2021
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- April 14, 2021
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Physical Therapist (225100000X)
- Other Identifiers
- 04425141 (NY)