Healthcare Provider Details

I. General information

NPI: 1053699686
Provider Name (Legal Business Name): COLE MCVEY KAMPEN PT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: LINDSAY COLE MCVEY

II. Dates (important events)

Enumeration Date: 08/01/2011
Last Update Date: 11/06/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1591 YANCEYVILLE ST STE 400
GREENSBORO NC
27405-6945
US

IV. Provider business mailing address

2450 RIVERSIDE AVE
MINNEAPOLIS MN
55454-1450
US

V. Phone/Fax

Practice location:
  • Phone: 336-274-7480
  • Fax: 336-274-8903
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number8808
License Number StateMN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: