National Provider Identifier
Dustin Joseph Maracle, D.P.T
Dustin Joseph Maracle, D.P.T is listed in the NPPES registry with a primary specialty of Physical Therapist in Mendon, NY and a listed phone number of (585) 851-9987.
Profile Overview
- NPI
- 1770713885
- Provider Type
- Individual
- Primary Specialty
- Physical Therapist
- Enumeration Date
- July 23, 2009
- Last Updated
- October 19, 2016
Practice Location
- 110 Assembly Dr
- Mendon, NY 14506
Phone: (585) 851-9987
Mailing Address
- 20 Assembly Dr Ste 101
- PO Box 212
- Mendon, NY 14506-9609
Specialties
- Physical Therapist (225100000X)
Full Record
- NPI
- 1770713885
- Entity Type
- Individual
- Last Name
- Maracle
- First Name
- Dustin
- Middle Name
- Joseph
- Credential
- D.P.T
- Mailing Street Address
- 20 Assembly Dr Ste 101
- Mailing Address Line 2
- PO Box 212
- Mailing City
- Mendon
- Mailing State
- NY
- Mailing ZIP Code
- 14506-9609
- Mailing Country
- US
- Mailing Phone
- (585) 582-1330
- Mailing Fax
- (585) 582-2537
- Practice Street Address
- 110 Assembly Dr
- Practice City
- Mendon
- Practice State
- NY
- Practice ZIP Code
- 14506
- Practice Country
- US
- Practice Phone
- (585) 851-9987
- Practice Fax
- (866) 299-5675
- Enumeration Date
- July 23, 2009
- Last Updated
- October 19, 2016
- Sex
- Male
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Physical Therapist (225100000X)