Doctor Name: | KELLY KREISHER |
NPI Number: | 1154606457 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | 19614 |
Business Practice Address: | 1493 Cambridge St Cambridge, MA - 021391047 |
Business Phone Number: | 6176652300 |
Business Fax Number: | |
Mailing Address: | 264 Kelton St Apt 8, ALLSTON |
State: | MA |
Postal Code: | 021344408 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 10/18/2011 |
NPI Last Update Date: | 10/18/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 19614 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MA |
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 |