National Provider Identifier
Kathleen Jeanne Smith, PT, DPT
Kathleen Jeanne Smith, PT, DPT is listed in the NPPES registry with a primary specialty of Physical Therapist in Victor, NY and a listed phone number of (585) 869-5140.
Profile Overview
- NPI
- 1376829168
- Provider Type
- Individual
- Primary Specialty
- Physical Therapist
- Enumeration Date
- October 25, 2011
- Last Updated
- December 05, 2022
Practice Location
- 6534 Anthony Dr Ste C
- Victor, NY 14564-1421
Phone: (585) 869-5140
Specialties
- Physical Therapist (225100000X)
Full Record
- NPI
- 1376829168
- Entity Type
- Individual
- Last Name
- Smith
- First Name
- Kathleen
- Middle Name
- Jeanne
- Credential
- PT, DPT
- Mailing Street Address
- 6534 Anthony Dr Ste C
- Mailing City
- Victor
- Mailing State
- NY
- Mailing ZIP Code
- 14564-1421
- Mailing Country
- US
- Mailing Phone
- (585) 869-5140
- Mailing Fax
- (585) 869-5142
- Practice Street Address
- 6534 Anthony Dr Ste C
- Practice City
- Victor
- Practice State
- NY
- Practice ZIP Code
- 14564-1421
- Practice Country
- US
- Practice Phone
- (585) 869-5140
- Practice Fax
- (585) 869-5142
- Enumeration Date
- October 25, 2011
- Last Updated
- December 05, 2022
- Sex
- Female
- Sole Proprietor
- Yes
- Certification Date
- December 05, 2022
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Physical Therapist (225100000X)