Provider Demographics
NPI:1972059582
Name:DONOHUE, KRISTEN GRATER (DPT)
Entity Type:Individual
Prefix:MRS
First Name:KRISTEN
Middle Name:GRATER
Last Name:DONOHUE
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:801 STATE ROUTE 50 STE 1
Mailing Address - Street 2:
Mailing Address - City:BURNT HILLS
Mailing Address - State:NY
Mailing Address - Zip Code:12027-9515
Mailing Address - Country:US
Mailing Address - Phone:518-952-7780
Mailing Address - Fax:888-370-2442
Practice Address - Street 1:801 STATE ROUTE 50 STE 1
Practice Address - Street 2:
Practice Address - City:BURNT HILLS
Practice Address - State:NY
Practice Address - Zip Code:12027-9515
Practice Address - Country:US
Practice Address - Phone:518-952-7780
Practice Address - Fax:888-370-2441
Is Sole Proprietor?:No
Enumeration Date:2016-09-01
Last Update Date:2022-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPT0254942251X0800X
NY046931-012251X0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedic