Provider Demographics
NPI:1881064152
Name:COLE, KALEIGH ELIZABETH (PT)
Entity type:Individual
Prefix:
First Name:KALEIGH
Middle Name:ELIZABETH
Last Name:COLE
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 1:539 KINGFISHER DR
Mailing Address - Street 2:
Mailing Address - City:WESTERVILLE
Mailing Address - State:OH
Mailing Address - Zip Code:43082-1062
Mailing Address - Country:US
Mailing Address - Phone:614-266-5070
Mailing Address - Fax:
Practice Address - Street 1:4660 HINCKLEY INDUSTRIAL PKWY
Practice Address - Street 2:
Practice Address - City:CLEVELAND
Practice Address - State:OH
Practice Address - Zip Code:44109-6011
Practice Address - Country:US
Practice Address - Phone:614-266-5070
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-09-30
Last Update Date:2015-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHPT016084225100000X
NY039362-1225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist