Healthcare Provider Details

I. General information

NPI: 1952233546
Provider Name (Legal Business Name): COLIN SETH KING DPT
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/30/2026
Last Update Date: 06/24/2026
Certification Date: 06/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

75 WASHINGTON ST STE 2
ELLSWORTH ME
04605-2104
US

IV. Provider business mailing address

27 HARVEY LN
LEVANT ME
04456-4610
US

V. Phone/Fax

Practice location:
  • Phone: 207-544-9640
  • Fax: 207-899-4090
Mailing address:
  • Phone: 207-291-5714
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberPT7448
License Number StateME

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: