Provider Demographics
NPI:1154721298
Name:KRAMER, HEATHER LYN (DPT)
Entity type:Individual
Prefix:DR
First Name:HEATHER
Middle Name:LYN
Last Name:KRAMER
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:20 COUNTRYSIDE DR
Mailing Address - Street 2:
Mailing Address - City:HAMLIN
Mailing Address - State:NY
Mailing Address - Zip Code:14464-9553
Mailing Address - Country:US
Mailing Address - Phone:585-749-0400
Mailing Address - Fax:
Practice Address - Street 1:20 COUNTRYSIDE DR
Practice Address - Street 2:
Practice Address - City:HAMLIN
Practice Address - State:NY
Practice Address - Zip Code:14464-9553
Practice Address - Country:US
Practice Address - Phone:585-749-0400
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-08-26
Last Update Date:2014-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY037840225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist