Lullo, Katie M

Lullo, Katie M is an sole proprietor health care provider with primary practice located at 150 W Main St , New Albany OH 43054-9229. She recently has 3 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, Ambulatory Health Care Facilities / Physical Therapy, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics is her primary health care specialty. Lullo, Katie M can be contacted via phone (614) 685-9425.

Contact Information

Primary practice address
150 W Main St New Albany OH 43054-9229
Phone: (614) 685-9425
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X PT019267 Ohio
Ambulatory Health Care Facilities / Physical Therapy 261QP2000X 070023306 Illinois
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics 2251P0200X PT019267 Ohio

Profile Details

NPI number 1962920124
LBN Legal business name Lullo, Katie M
Credentials PT, DPT
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 7th, 2017
Last updated Apr 10th, 2025 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1962920124 NPPES
Ohio MEDICAID 0484370

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