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NPI Code Detail

MEDICARE: ERIKA R COLLINS AT, PTA

MEDICARE: ERIKA R COLLINS AT, PTA
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
12255A2300XAthletic Trainer2601000931MI
2225200000XPhysical Therapy Assistant5502004747MI

General Provider Information

NPI Number : 1427550417
Entity Type Code : Individual
Provider Name (Legal Business Name) : ERIKA R COLLINS AT, PTA
Provider Business Mailing Address
First Line : 6510 M 66 N
Second Line :
City : CHARLEVOIX
State : MI
Zip : 49720-9272
Country : US
Telephone Number : 231-547-0380
Fax Number : 231-547-0395
Provider Business Practice Location Address
First Line : 6510 M 66 N
Second Line :
City : CHARLEVOIX
State : MI
Zip : 49720-9272
Country : US
Telephone Number : 231-547-0380
Fax Number : 231-547-0395
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/06/2018
Last Update Date : 03/06/2018

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