Healthcare Provider Details

I. General information

NPI: 1609713098
Provider Name (Legal Business Name): MS. LESLIE L COLE
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/02/2026
Last Update Date: 05/02/2026
Certification Date: 05/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4800 BRIARCLIFF RD NE STE 2033
ATLANTA GA
30345-2750
US

IV. Provider business mailing address

3631 CHAMBLEE TUCKER RD STE A223
ATLANTA GA
30341-4415
US

V. Phone/Fax

Practice location:
  • Phone: 404-438-9093
  • Fax:
Mailing address:
  • Phone: 404-438-9093
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code172M00000X
TaxonomyMechanotherapist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: