National Provider Identifier
Kristi Marie Hagen Bauer, MSPT, ATC
Kristi Marie Hagen Bauer, MSPT, ATC is listed in the NPPES registry with a primary specialty of Sports Physical Therapist in Lakeville, NY and a listed phone number of (585) 346-0060.
Profile Overview
- NPI
- 1639211139
- Provider Type
- Individual
- Primary Specialty
- Sports Physical Therapist
- Enumeration Date
- February 12, 2007
- Last Updated
- September 11, 2025
Practice Location
- 3506 Thomas Dr
- Lakeville, NY 14480-9730
Phone: (585) 346-0060
Mailing Address
- 5114 Lake RD
- Avon, NY 14414-9626
Specialties
- Sports Physical Therapist (2251S0007X)
- Orthopedic Physical Therapist (2251X0800X)
Full Record
- NPI
- 1639211139
- Entity Type
- Individual
- Last Name
- Bauer
- First Name
- Kristi
- Middle Name
- Marie Hagen
- Name Prefix
- Mrs.
- Credential
- MSPT, ATC
- Mailing Street Address
- 5114 Lake RD
- Mailing City
- Avon
- Mailing State
- NY
- Mailing ZIP Code
- 14414-9626
- Mailing Country
- US
- Mailing Phone
- (585) 226-2187
- Practice Street Address
- 3506 Thomas Dr
- Practice City
- Lakeville
- Practice State
- NY
- Practice ZIP Code
- 14480-9730
- Practice Country
- US
- Practice Phone
- (585) 346-0060
- Practice Fax
- (585) 346-0108
- Enumeration Date
- February 12, 2007
- Last Updated
- September 11, 2025
- Sex
- Female
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Sports Physical Therapist (2251S0007X), Orthopedic Physical Therapist (2251X0800X)