National Provider Identifier
Kristen Rebecca Petrushesky, PT, DPT
Kristen Rebecca Petrushesky, PT, DPT is listed in the NPPES registry with a primary specialty of Physical Therapist in Rochester, NY and a listed phone number of (585) 341-9000.
Profile Overview
- NPI
- 1386281236
- Provider Type
- Individual
- Primary Specialty
- Physical Therapist
- Enumeration Date
- December 10, 2019
- Last Updated
- January 28, 2020
Practice Location
- 4901 Lac De Ville Blvd
- Rochester, NY 14618-5647
Phone: (585) 341-9000
Mailing Address
- 34 Running Brook Dr
- Lancaster, NY 14086-3309
Specialties
- Physical Therapist (225100000X)
Full Record
- NPI
- 1386281236
- Entity Type
- Individual
- Last Name
- Petrushesky
- First Name
- Kristen
- Middle Name
- Rebecca
- Credential
- PT, DPT
- Mailing Street Address
- 34 Running Brook Dr
- Mailing City
- Lancaster
- Mailing State
- NY
- Mailing ZIP Code
- 14086-3309
- Mailing Country
- US
- Mailing Phone
- (716) 352-1010
- Practice Street Address
- 4901 Lac De Ville Blvd
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14618-5647
- Practice Country
- US
- Practice Phone
- (585) 341-9000
- Enumeration Date
- December 10, 2019
- Last Updated
- January 28, 2020
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- January 28, 2020
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Physical Therapist (225100000X)