National Provider Identifier

Jaclyn Levesque

Jaclyn Levesque is listed in the NPPES registry with a primary specialty of Physical Therapist in Webster, NY and a listed phone number of (585) 347-4990.

NPI 1588052187Webster, NYPhysical Therapist

Profile Overview

NPI
1588052187
Provider Type
Individual
Primary Specialty
Physical Therapist
Enumeration Date
January 05, 2015
Last Updated
January 05, 2015

Practice Location

  • 1130 Crosspointe Ln
  • Suite 6
  • Webster, NY 14580-2986

Phone: (585) 347-4990

Specialties

  • Physical Therapist (225100000X)
Full Record
NPI
1588052187
Entity Type
Individual
Last Name
Levesque
First Name
Jaclyn
Mailing Street Address
1130 Crosspointe Ln
Mailing Address Line 2
Suite 6
Mailing City
Webster
Mailing State
NY
Mailing ZIP Code
14580-2986
Mailing Country
US
Mailing Phone
(585) 347-4990
Practice Street Address
1130 Crosspointe Ln
Practice Address Line 2
Suite 6
Practice City
Webster
Practice State
NY
Practice ZIP Code
14580-2986
Practice Country
US
Practice Phone
(585) 347-4990
Enumeration Date
January 05, 2015
Last Updated
January 05, 2015
Sex
Female
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Physical Therapist (225100000X)