Individual
KIMBERLY COLCLASURE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
1700 THOMAS PAINE PKWY, CENTERVILLE, OH 45459-2541
(937) 428-6273
(513) 755-3762
Mailing address
1700 THOMAS PAINE PKWY, CENTERVILLE, OH 45459-2541
(513) 755-6600
(513) 755-3762
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
07556
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2187155
—
OH
Enumeration date
01/06/2012
Last updated
02/10/2022
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