Provider Demographics
NPI:1669777017
Name:GEE, NICOLE LEIGH (PT)
Entity type:Individual
Prefix:
First Name:NICOLE
Middle Name:LEIGH
Last Name:GEE
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 1:10036 VISTA SPRINGS WAY
Mailing Address - Street 2:
Mailing Address - City:LOUISVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40291-4159
Mailing Address - Country:US
Mailing Address - Phone:026-842-3265
Mailing Address - Fax:
Practice Address - Street 1:10036 VISTA SPRINGS WAY
Practice Address - Street 2:
Practice Address - City:LOUISVILLE
Practice Address - State:KY
Practice Address - Zip Code:40291-4159
Practice Address - Country:US
Practice Address - Phone:502-684-2326
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-01-17
Last Update Date:2025-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
005739225100000X
KY005739225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist