National Provider Identifier
Kristy Genung Dibelka, LMT
Kristy Genung Dibelka, LMT is listed in the NPPES registry with a primary specialty of Massage Therapist in Brockport, NY and a listed phone number of (585) 697-4489.
Profile Overview
- NPI
- 1770755274
- Provider Type
- Individual
- Primary Specialty
- Massage Therapist
- Enumeration Date
- March 25, 2008
- Last Updated
- March 25, 2008
Practice Location
- 4079 Lake RD N
- Brockport, NY 14420-1517
Phone: (585) 697-4489
Specialties
- Massage Therapist (225700000X)
Full Record
- NPI
- 1770755274
- Entity Type
- Individual
- Last Name
- Dibelka
- First Name
- Kristy
- Middle Name
- Genung
- Name Prefix
- MS.
- Credential
- LMT
- Mailing Street Address
- 4079 Lake RD N
- Mailing City
- Brockport
- Mailing State
- NY
- Mailing ZIP Code
- 14420-1517
- Mailing Country
- US
- Mailing Phone
- (585) 697-4489
- Practice Street Address
- 4079 Lake RD N
- Practice City
- Brockport
- Practice State
- NY
- Practice ZIP Code
- 14420-1517
- Practice Country
- US
- Practice Phone
- (585) 697-4489
- Enumeration Date
- March 25, 2008
- Last Updated
- March 25, 2008
- Sex
- Female
- Sole Proprietor
- Yes
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Massage Therapist (225700000X)