Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mrs. Kathleen G Fairbanks, DPT/PT

Individual provider Physical Therapist · NPI 1588846802

Mrs. Kathleen G Fairbanks, DPT/PT is a Physical Therapist in Boston, Massachusetts. Licensed in Massachusetts. Registered with an NPI since 2007.

Licensed in
MA
In the registry since
2007

Practice location Address checks out

300 Longwood Ave
Boston, MA 02115-5724
Phone: (617) 355-7212
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 17931 (MA)

Record details

NPI number1588846802
Entity typeIndividual (Type 1)
GenderFemale
Credentials DPT/PT
Sole proprietorNo
NPI enumeratedNovember 28, 2007
Last updated in NPPESMarch 8, 2010

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