Provider Demographics
NPI:1043685472
Name:GEHM, KRISTA (PT, DPT)
Entity Type:Individual
Prefix:
First Name:KRISTA
Middle Name:
Last Name:GEHM
Suffix:
Gender:F
Credentials:PT, DPT
Other - Prefix:
Other - First Name:KRISTA
Other - Middle Name:
Other - Last Name:ARMSTRONG
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:PT, DPT
Mailing Address - Street 1:441 PENBROOKE DR STE 8
Mailing Address - Street 2:
Mailing Address - City:PENFIELD
Mailing Address - State:NY
Mailing Address - Zip Code:14526-2046
Mailing Address - Country:US
Mailing Address - Phone:585-386-3547
Mailing Address - Fax:
Practice Address - Street 1:441 PENBROOKE DR STE 8
Practice Address - Street 2:
Practice Address - City:PENFIELD
Practice Address - State:NY
Practice Address - Zip Code:14526-2046
Practice Address - Country:US
Practice Address - Phone:585-386-3547
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-12-10
Last Update Date:2023-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY039659-1174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist