Provider Demographics
NPI:1154679066
Name:STEARNS, KAYLEE M (DPT)
Entity Type:Individual
Prefix:MRS
First Name:KAYLEE
Middle Name:M
Last Name:STEARNS
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:MISS
Other - First Name:KAYLEE
Other - Middle Name:
Other - Last Name:PELUSO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DPT
Mailing Address - Street 1:515 LONG POND RD
Mailing Address - Street 2:
Mailing Address - City:ROCHESTER
Mailing Address - State:NY
Mailing Address - Zip Code:14612-3005
Mailing Address - Country:US
Mailing Address - Phone:585-227-2310
Mailing Address - Fax:585-227-2312
Practice Address - Street 1:2621 CULVER RD
Practice Address - Street 2:
Practice Address - City:ROCHESTER
Practice Address - State:NY
Practice Address - Zip Code:14609-1746
Practice Address - Country:US
Practice Address - Phone:585-697-7696
Practice Address - Fax:585-697-7698
Is Sole Proprietor?:No
Enumeration Date:2012-08-27
Last Update Date:2019-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY035481225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist