Provider Demographics
NPI:1235787326
Name:KORM, HAYLEIGH M (PT, DPT)
Entity type:Individual
Prefix:
First Name:HAYLEIGH
Middle Name:M
Last Name:KORM
Suffix:
Gender:F
Credentials:PT, DPT
Other - Prefix:
Other - First Name:HAYLEIGH
Other - Middle Name:M
Other - Last Name:TOMEK
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1400 GARY GANUE DR
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43228-8934
Mailing Address - Country:US
Mailing Address - Phone:614-378-7557
Mailing Address - Fax:
Practice Address - Street 1:2140 ATLAS ST
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43228-9647
Practice Address - Country:US
Practice Address - Phone:614-921-7000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-08-31
Last Update Date:2025-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHPT018237225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist