IndividualActive
Alex Petruska, PT
NPI 1912930819 · Sports Physical Therapist · Boston, MA
Provider details
- NPI number
- 1912930819
- Entity type
- Individual
- Primary specialty
- Sports Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- PT
- Sex
- Male
- Sole proprietor
- No
- License
- 2874 (MA)
Practice location
175 Cambridge St
Suite 470
Boston, MA 02114-2743
Phone: (617) 643-0912
Mailing address
175 Cambridge St
Boston, MA 02114-2743
Registry dates
- Enumerated
- 2006-07-07
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.