Healthcare Provider Details

I. General information

NPI: 1184722555
Provider Name (Legal Business Name): MICHAEL THOMAS KOLINSKI DO
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/20/2006
Last Update Date: 02/11/2025
Certification Date: 02/11/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5578 LONGLEY LN
RENO NV
89511-1825
US

IV. Provider business mailing address

5578 LONGLEY LN
RENO NV
89511-1825
US

V. Phone/Fax

Practice location:
  • Phone: 775-284-8650
  • Fax:
Mailing address:
  • Phone: 775-284-8650
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code204D00000X
TaxonomyNeuromusculoskeletal Medicine & OMM Physician
License Number5101015322
License Number StateMI
# 2
Primary TaxonomyY
Taxonomy Code204D00000X
TaxonomyNeuromusculoskeletal Medicine & OMM Physician
License NumberDO3026
License Number StateNV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: