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NPI Code Detail

MEDICARE: THOMAS WHITFIELD COLT PT, ATC

MEDICARE: THOMAS WHITFIELD COLT PT, ATC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225100000XPhysical Therapist5501017239MI

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
27941OTHERAZLICENSE #

General Provider Information

NPI Number : 1588842322
Entity Type Code : Individual
Provider Name (Legal Business Name) : THOMAS WHITFIELD COLT PT, ATC
Provider Business Mailing Address
First Line : 33900 HARPER AVE STE 104
Second Line :
City : CLINTON TWP
State : MI
Zip : 48035-4258
Country : US
Telephone Number : 586-350-2644
Fax Number : 586-541-3735
Provider Business Practice Location Address
First Line : 525 N MAIN ST STE 120
Second Line :
City : MILFORD
State : MI
Zip : 48381-1592
Country : US
Telephone Number : 248-329-3700
Fax Number : 248-329-3881
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/04/2008
Last Update Date : 09/08/2025

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Directions to “ THOMAS WHITFIELD COLT PT, ATC” Practice Location

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