Provider Demographics
NPI:1750088068
Name:HARDIN, COLTON (DPT)
Entity type:Individual
Prefix:
First Name:COLTON
Middle Name:
Last Name:HARDIN
Suffix:
Gender:M
Credentials:DPT
Other - Prefix:
Other - First Name:COLE
Other - Middle Name:
Other - Last Name:HARDIN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:DPT
Mailing Address - Street 1:8136 GERBERA DR UNIT 7204
Mailing Address - Street 2:
Mailing Address - City:NAPLES
Mailing Address - State:FL
Mailing Address - Zip Code:34113-9037
Mailing Address - Country:US
Mailing Address - Phone:316-641-2845
Mailing Address - Fax:
Practice Address - Street 1:1725 HERITAGE TRL STE 301
Practice Address - Street 2:
Practice Address - City:NAPLES
Practice Address - State:FL
Practice Address - Zip Code:34112-8716
Practice Address - Country:US
Practice Address - Phone:239-649-6848
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-02-08
Last Update Date:2025-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPT39919225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist