MEDICARE: ABIGAIL LOUISE KOLACZ PT, DPT, LAT, 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
1	2255A2300X	Athletic Trainer	3825	MN
2	225100000X	Physical Therapist	14386	MN

General Provider Information

NPI Number	:	1245986322
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ABIGAIL LOUISE KOLACZ PT, DPT, LAT, ATC

Provider Business Mailing Address
First Line	:	8765 PRESTWICK PKWY N
Second Line	:
City	:	BROOKLYN PARK
State	:	MN
Zip	:	55443-3909
Country	:	US
Telephone Number	:	763-227-6885
Fax Number	:

Provider Business Practice Location Address
First Line	:	600 HENNEPIN AVE
Second Line	:
City	:	MINNEAPOLIS
State	:	MN
Zip	:	55403-1816
Country	:	US
Telephone Number	:	612-313-0520
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/27/2022
Last Update Date	:	06/18/2026

Similar Medicare Providers

1114267846 — KATHLEEN M TABER M.ED., ATC
Practice Location Address:

600 HENNEPIN AVE , SUITE 310
MINNEAPOLIS, MN
55403-1816

Practice Phone: 612-750-3524
Practice Fax:

1629094875 — DR. ELLEN K. DONA PSY.D., LP
Practice Location Address:

4828 XERXES AVE S
MINNEAPOLIS, MN
55410-1816

Practice Phone: 612-922-3698
Practice Fax: 612-922-3698

1326990912 — OLIVIA CHALL IBCLC
Practice Location Address:

19 S 1ST ST APT B1205
MINNEAPOLIS, MN
55401-1816

Practice Phone: 612-272-0595
Practice Fax:

1578300067 — MOLLY RINEHART
Practice Location Address:

1201 HARMON PL
MINNEAPOLIS, MN
55403-2043

Practice Phone: 612-990-0304
Practice Fax:

1821921883 — ELLE CHRISTOFERSON LICSW
Practice Location Address:

1915 LYNDALE AVE S
MINNEAPOLIS, MN
55403-3104

Practice Phone: 800-336-5973
Practice Fax:

1629902853 — ROBLE ADEN MD, MPH
Practice Location Address:

1801 NICOLLET AVE
MINNEAPOLIS, MN
55403-3791

Practice Phone: 612-823-2947
Practice Fax:

Directions to “ ABIGAIL LOUISE KOLACZ PT, DPT, LAT, ATC” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.