Provider Demographics
NPI:1629019146
Name:KALMAN, KERRI LYNN (PT)
Entity Type:Individual
Prefix:
First Name:KERRI
Middle Name:LYNN
Last Name:KALMAN
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1118 LEDGESTONE DR
Mailing Address - Street 2:
Mailing Address - City:WADSWORTH
Mailing Address - State:OH
Mailing Address - Zip Code:44281-8113
Mailing Address - Country:US
Mailing Address - Phone:330-336-9533
Mailing Address - Fax:
Practice Address - Street 1:3983B PEARL RD
Practice Address - Street 2:
Practice Address - City:MEDINA
Practice Address - State:OH
Practice Address - Zip Code:44256-9036
Practice Address - Country:US
Practice Address - Phone:330-725-4872
Practice Address - Fax:330-725-4878
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-06-08
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHPT009705225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
OHKA4065231Medicare PIN