Provider Demographics
NPI:1316776263
Name:SURRATT, KALAH (PT, DPT)
Entity type:Individual
Prefix:DR
First Name:KALAH
Middle Name:
Last Name:SURRATT
Suffix:
Gender:F
Credentials:PT, DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:532 SENTNER ST
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19120-1704
Mailing Address - Country:US
Mailing Address - Phone:267-474-9230
Mailing Address - Fax:
Practice Address - Street 1:2285 CROSS RD
Practice Address - Street 2:
Practice Address - City:GLENSIDE
Practice Address - State:PA
Practice Address - Zip Code:19038-5009
Practice Address - Country:US
Practice Address - Phone:215-887-2001
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-07-30
Last Update Date:2024-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist