National Provider Identifier
Kali Jeanne Larue, DPT
Kali Jeanne Larue, DPT is listed in the NPPES registry with a primary specialty of Orthopedic Physical Therapist in Fairport, NY and a listed phone number of (585) 425-1018.
Profile Overview
- NPI
- 1699973149
- Provider Type
- Individual
- Primary Specialty
- Orthopedic Physical Therapist
- Enumeration Date
- July 06, 2007
- Last Updated
- April 17, 2018
Practice Location
- 790 Ayrault Road
- Star Physical Therapy
- Fairport, NY 14450
Phone: (585) 425-1018
Mailing Address
- 790 Ayrault RD
- Fairport, NY 14450-8981
Specialties
- Orthopedic Physical Therapist (2251X0800X)
Full Record
- NPI
- 1699973149
- Entity Type
- Individual
- Last Name
- Larue
- First Name
- Kali
- Middle Name
- Jeanne
- Name Prefix
- MS.
- Credential
- DPT
- Provider Other Last Name
- Spoto
- Provider Other First Name
- Kali
- Provider Other Credential Text
- DPT
- Provider Other Last Name Type Code
- 1
- Mailing Street Address
- 790 Ayrault RD
- Mailing City
- Fairport
- Mailing State
- NY
- Mailing ZIP Code
- 14450-8981
- Mailing Country
- US
- Mailing Phone
- (585) 425-1018
- Practice Street Address
- 790 Ayrault Road
- Practice Address Line 2
- Star Physical Therapy
- Practice City
- Fairport
- Practice State
- NY
- Practice ZIP Code
- 14450
- Practice Country
- US
- Practice Phone
- (585) 425-1018
- Practice Fax
- (585) 425-8955
- Enumeration Date
- July 06, 2007
- Last Updated
- April 17, 2018
- Sex
- Female
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Orthopedic Physical Therapist (2251X0800X)