Organization
SHELLY KRAETZ
Active
Other names
FYZICAL Therapy & Balance Centers
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHELLY G KRAETZ PDT, CLT (PHYSICAL THERAPIST / OWNER)
(315) 291-7042
Entity
Organization
Contact information
Practice address
810 W GENESEE STREET RD, SKANEATELES, NY 13152
(315) 291-7042
(315) 291-7048
Mailing address
PO BOX 611, SKANEATELES, NY 13152-0611
(315) 291-7042
(315) 291-7048
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
—
—
261QP2000X
Physical Therapy Clinic/Center
Primary
029599-1
NY
Other
Enumeration date
10/04/2011
Last updated
08/29/2019
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