Kelleigh Allen, PT
Individual provider Active NPI Physical Therapist · Burbank, OH
NPI 1013269232 · NPPES record last updated Oct 11, 2012
Key facts
- NPI
- 1013269232
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- PT-09416 (OH)
- Practice address
- 14976 Burbank Rd
Burbank, OH 44214-9763 - Phone
- (330) 624-1030
- NPI assigned
- Oct 11, 2012
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT-09416 | OH | MD | Physical Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT-09416 | OH | Yes |
Addresses
Primary practice location
14976 Burbank Rd
Burbank, OH 44214-9763
Mailing address
3325 Colton CT
Wooster, OH 44691-1899
Phone (330) 345-1175
Other providers in Burbank, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 11, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.