Healthcare Provider Details

I. General information

NPI: 1902485857
Provider Name (Legal Business Name): COLLIN ENTERPRISES INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/07/2021
Last Update Date: 04/07/2021
Certification Date: 04/07/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

23324 VALLEY HIGH RD
MORRISON CO
80465-2570
US

IV. Provider business mailing address

PO BOX 924
CONIFER CO
80433-0924
US

V. Phone/Fax

Practice location:
  • Phone: 39-564-6173
  • Fax: 303-500-6116
Mailing address:
  • Phone: 303-956-4617
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State

VIII. Authorized Official

Name: GISELE COLLIN HALL
Title or Position: OWNER
Credential: PT
Phone: 303-956-4617