National Provider Identifier

Kim Matava

Kim Matava is listed in the NPPES registry with a primary specialty of Physical Therapist in Rochester, NY and a listed phone number of (585) 368-6100.

NPI 1982161998Rochester, NYPhysical Therapist

Profile Overview

NPI
1982161998
Provider Type
Individual
Primary Specialty
Physical Therapist
Enumeration Date
February 26, 2019
Last Updated
February 26, 2019

Practice Location

  • 700 Island Cottage RD
  • Rochester, NY 14612-2312

Phone: (585) 368-6100

Specialties

  • Physical Therapist (225100000X)
Full Record
NPI
1982161998
Entity Type
Individual
Last Name
Matava
First Name
Kim
Mailing Street Address
700 Island Cottage RD
Mailing City
Rochester
Mailing State
NY
Mailing ZIP Code
14612-2312
Mailing Country
US
Practice Street Address
700 Island Cottage RD
Practice City
Rochester
Practice State
NY
Practice ZIP Code
14612-2312
Practice Country
US
Practice Phone
(585) 368-6100
Enumeration Date
February 26, 2019
Last Updated
February 26, 2019
Sex
Female
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Physical Therapist (225100000X)