Individual
COLTON THOMAS KELLOGG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT, CSCS
Contact information
Practice address
2307 W 12TH ST, ERIE, PA 16505-4539
(814) 528-5667
Mailing address
2307 W 12TH ST, ERIE, PA 16505-4539
(814) 528-5667
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT031289
PA
2251X0800X
Orthopedic Physical Therapist
PT031289
PA
Other
Enumeration date
06/22/2023
Last updated
06/22/2023
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