Doctor Name: | KIMBERLY FAHEY |
NPI Number: | 1134185630 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PT |
License Number: | 024142-1 |
Business Practice Address: | 711 Troy Schenectady Rd Suite 216 Latham, NY - 121102442 |
Business Phone Number: | 5187861665 |
Business Fax Number: | 5187850056 |
Mailing Address: | 711 Troy Schenectady Rd, Suite 209 LATHAM |
State: | NY |
Postal Code: | 121102442 |
Phone Number: | 5187861667 |
Fax Number: | 5187861954 |
NPI Enumeration Date: | 04/24/2006 |
NPI Last Update Date: | 07/31/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 024142-1 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |