Provider Demographics
NPI:1275882508
Name:KOLOMIETS, HANNAH LEONE (DPT, PT)
Entity Type:Individual
Prefix:
First Name:HANNAH
Middle Name:LEONE
Last Name:KOLOMIETS
Suffix:
Gender:F
Credentials:DPT, PT
Other - Prefix:
Other - First Name:HANNAH
Other - Middle Name:LEONE
Other - Last Name:PECK
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:800 CRESCENT CENTRE DR STE 300
Mailing Address - Street 2:
Mailing Address - City:FRANKLIN
Mailing Address - State:TN
Mailing Address - Zip Code:37067-7285
Mailing Address - Country:US
Mailing Address - Phone:615-373-1350
Mailing Address - Fax:615-221-9054
Practice Address - Street 1:7559 HIGHWAY 72 W
Practice Address - Street 2:SUITE 110
Practice Address - City:MADISON
Practice Address - State:AL
Practice Address - Zip Code:35758-8811
Practice Address - Country:US
Practice Address - Phone:256-772-9155
Practice Address - Fax:256-772-9154
Is Sole Proprietor?:No
Enumeration Date:2012-08-31
Last Update Date:2022-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN9320225100000X
ALPTH6584225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist