Provider Demographics
NPI:1225650880
Name:COLETTI LYMPHATIC CARE, LLC
Entity Type:Organization
Organization Name:COLETTI LYMPHATIC CARE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:JEAN
Authorized Official - Middle Name:
Authorized Official - Last Name:COLETTI
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:828-273-3950
Mailing Address - Street 1:38 ROSSCRAGGON RD STE B
Mailing Address - Street 2:
Mailing Address - City:ASHEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28803-1165
Mailing Address - Country:US
Mailing Address - Phone:828-273-3950
Mailing Address - Fax:
Practice Address - Street 1:38 ROSSCRAGGON RD STE B
Practice Address - Street 2:
Practice Address - City:ASHEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28803-1165
Practice Address - Country:US
Practice Address - Phone:828-273-3950
Practice Address - Fax:828-585-2359
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-05-17
Last Update Date:2020-05-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Multi-Specialty