Colby Kulig
Individual provider Active NPI Physical Therapist · Wind Gap, PA
NPI 1104415157 · NPPES record last updated Jan 14, 2021
Key facts
- NPI
- 1104415157
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- Practice address
- 1411 Jacobsburg Rd
Wind Gap, PA 18091-9788 - Phone
- (610) 861-8080
- NPI assigned
- Jan 14, 2021
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | Yes |
Addresses
Primary practice location
1411 Jacobsburg Rd
Wind Gap, PA 18091-9788
Mailing address
1411 Jacobsburg Rd
Wind Gap, PA 18091-9788
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PT029046 | Other | PA | STATE LICENSE |
Other providers in Wind Gap, PA
- James Byung-Jin Kim
- Robert Paul Kitchen III
- Brenda L Kleinman
- Lauren E Kresge
- Kelly Victoria Krickus
- Lehigh Valley Physician Group
- Lehigh Valley Physician Group
- Life Change Health P.C.
- Mark Andrew Llewellyn
- Kristin Erika Lovgren
All providers in Wind Gap, PA · Physical Therapist in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 14, 2021. 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.