IndividualActive
Kim Colegrove
NPI 1073923256 · Massage Therapist · Lakewood, OH
Provider details
- NPI number
- 1073923256
- Entity type
- Individual
- Primary specialty
- Massage TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Sex
- Female
- Sole proprietor
- Yes
- License
- 33.015190 (OH)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
Detailed profile(76/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
12 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
12501 Madison Ave
Lakewood, OH 44107-5004
Phone: (216) 287-1358
Street-level locationGet directions
Mailing address
3566 Warren Rd
Cleveland, OH 44111-3039
Registry dates
- Enumerated
- 2014-04-28
- Last updated
- 2014-04-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.