National Provider Identifier

Kelsy Boldt, DPT

Kelsy Boldt, DPT is listed in the NPPES registry with a primary specialty of Physical Therapist in Mendon, NY and a listed phone number of (585) 582-1330.

NPI 1811504368Mendon, NYPhysical Therapist

Profile Overview

NPI
1811504368
Provider Type
Individual
Primary Specialty
Physical Therapist
Enumeration Date
September 29, 2020
Last Updated
December 11, 2023

Practice Location

  • 110 Assembly Dr
  • Mendon, NY 14506-9600

Phone: (585) 582-1330

Mailing Address

  • PO Box 725
  • Mendon, NY 14506-0725

Specialties

  • Physical Therapist (225100000X)
Full Record
NPI
1811504368
Entity Type
Individual
Last Name
Boldt
First Name
Kelsy
Credential
DPT
Provider Other Last Name
Cornish
Provider Other First Name
Kelsy
Provider Other Credential Text
DPT
Provider Other Last Name Type Code
1
Mailing Street Address
PO Box 725
Mailing City
Mendon
Mailing State
NY
Mailing ZIP Code
14506-0725
Mailing Country
US
Mailing Phone
(585) 582-6273
Practice Street Address
110 Assembly Dr
Practice City
Mendon
Practice State
NY
Practice ZIP Code
14506-9600
Practice Country
US
Practice Phone
(585) 582-1330
Practice Fax
(585) 582-2537
Enumeration Date
September 29, 2020
Last Updated
December 11, 2023
Sex
Female
Sole Proprietor
No
Certification Date
December 11, 2023
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Physical Therapist (225100000X)