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NPI Code Detail

MEDICARE: MS. KATHERINE MELISSA COLLINS PT, DPT, ATP

MEDICARE: MS. KATHERINE MELISSA COLLINS PT, DPT, ATP
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
1225100000XPhysical Therapist2448NE

General Provider Information

NPI Number : 1588773014
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. KATHERINE MELISSA COLLINS PT, DPT, ATP
Provider Business Mailing Address
First Line : 5401 SOUTH ST
Second Line :
City : LINCOLN
State : NE
Zip : 68506-2150
Country : US
Telephone Number : 402-486-8271
Fax Number : 402-486-8393
Provider Business Practice Location Address
First Line : 5401 SOUTH ST
Second Line :
City : LINCOLN
State : NE
Zip : 68506-2150
Country : US
Telephone Number : 402-486-8271
Fax Number : 402-486-8393
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/29/2006
Last Update Date : 04/03/2012

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