MEDICARE: MS. DAWN C KOLKMAN MSPT

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	225100000X	Physical Therapist	PTL 8999	CO
2	225100000X	Physical Therapist	CP039745T	IN

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	PTL8999	OTHER	CO	PT CO STATE LICENSE

General Provider Information

NPI Number	:	1306830112
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. DAWN C KOLKMAN MSPT

Provider Business Mailing Address
First Line	:	2497 POWER RD UNIT 10
Second Line	:
City	:	GRAND JUNCTION
State	:	CO
Zip	:	81507-3085
Country	:	US
Telephone Number	:	970-263-4079
Fax Number	:

Provider Business Practice Location Address
First Line	:	2497 POWER RD UNIT 10
Second Line	:
City	:	GRAND JUNCTION
State	:	CO
Zip	:	81507-3085
Country	:	US
Telephone Number	:	970-263-4079
Fax Number	:

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

Provider Enumeration Date	:	09/07/2005
Last Update Date	:	02/06/2025

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