Colclasure, Kimberly
Colclasure, Kimberly is an individual health care provider with primary practice located at 1700 Thomas Paine Pkwy , Centerville OH 45459-2541. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Colclasure, Kimberly can be contacted via phone (937) 428-6273.Contact Information
Primary practice address
1700 Thomas Paine Pkwy
Centerville OH 45459-2541
Phone: (937) 428-6273
Fax: (513) 755-3762
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | 07556 | Ohio |
Profile Details
| NPI number | 1457621534 |
|---|---|
| LBN Legal business name | Colclasure, Kimberly |
| Credentials | DPT |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 6th, 2012 |
| Last updated | Feb 10th, 2022 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1457621534 | NPPES |
| Ohio | MEDICAID | 2187155 |
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