Doctor Name: | KELLY LEE COLSON |
NPI Number: | 1194972117 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MSPT |
License Number: | 005289 |
Business Practice Address: | 5008 Summer Breeze Cir Lexington, KY - 405156255 |
Business Phone Number: | 5026441940 |
Business Fax Number: | |
Mailing Address: | 5008 Summer Breeze Cir, LEXINGTON |
State: | KY |
Postal Code: | 405156255 |
Phone Number: | 5026441940 |
Fax Number: | |
NPI Enumeration Date: | 08/20/2008 |
NPI Last Update Date: | 11/12/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 005289 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | KY |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |