Provider Demographics
NPI:1952492985
Name:MINERY, ARTHUR ROBERT (PT)
Entity Type:Individual
Prefix:
First Name:ARTHUR
Middle Name:ROBERT
Last Name:MINERY
Suffix:
Gender:M
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:7 WASHINGTON ST
Mailing Address - Street 2:SUITE A100
Mailing Address - City:CHURCHVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:14428-9603
Mailing Address - Country:US
Mailing Address - Phone:585-293-9160
Mailing Address - Fax:585-293-9175
Practice Address - Street 1:7 WASHINGTON ST
Practice Address - Street 2:SUITE A100
Practice Address - City:CHURCHVILLE
Practice Address - State:NY
Practice Address - Zip Code:14428-9603
Practice Address - Country:US
Practice Address - Phone:585-293-9160
Practice Address - Fax:585-293-9175
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-27
Last Update Date:2009-04-13
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY024288-1225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist