Provider Demographics
NPI:1245063882
Name:COHN, HALLE ALEXIS
Entity type:Individual
Prefix:
First Name:HALLE
Middle Name:ALEXIS
Last Name:COHN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:HALLE
Other - Middle Name:ALEXIS
Other - Last Name:COHN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1225 PARKSTEAD LN
Mailing Address - Street 2:
Mailing Address - City:MILTON
Mailing Address - State:GA
Mailing Address - Zip Code:30004-0018
Mailing Address - Country:US
Mailing Address - Phone:470-334-9552
Mailing Address - Fax:
Practice Address - Street 1:1225 PARKSTEAD LN
Practice Address - Street 2:
Practice Address - City:MILTON
Practice Address - State:GA
Practice Address - Zip Code:30004-0018
Practice Address - Country:US
Practice Address - Phone:470-334-9552
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-08-20
Last Update Date:2024-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer