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General NPI Number Information
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NPI Number | 1306662093
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Entity Type | Individual
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Provider Name | MATTHEW AUSTIN KOHLMANN DPT
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Gender | Male
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Dates
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Enumeration Date | 11/26/2024
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Last Update Date | 11/26/2024
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Provider Practice Location Address
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Address Line | 3705 OLENTANGY RIVER RD STE 260
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City | COLUMBUS
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State | OH
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Zip | 43214-3467
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Country | US
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Telephone | 614-407-8552
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Fax |
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Provider Business Mailing Address
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Address Line | 3871 PONDSIDE WAY APT 204
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City | COLUMBUS
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State | OH
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Zip | 43219-4011
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Country | US
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Telephone | 724-581-1480
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | PT020600
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License Number State | OH
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