Michael Andrew Colling, PT, MTC, DPT

Individual provider Active NPI Physical Therapist · Berkley, MI

NPI 1114197795 · NPPES record last updated Mar 11, 2008

Key facts

NPI
1114197795
Entity type
Individual (NPI type 1)
Primary specialty
Physical Therapist 225100000X
License
5501003517 (MI)
Practice address
28933 Woodward Ave
Berkley, MI 48072-0923
Phone
(248) 414-7592
Fax
(248) 414-7661
NPI assigned
Mar 10, 2008
Sex
Male
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
5501003517MIMDPhysical Therapist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 5501003517 MI Yes

Addresses

Primary practice location

28933 Woodward Ave
Berkley, MI 48072-0923

Mailing address

28933 Woodward Ave
Berkley, MI 48072-0923
Phone (248) 414-7592

Other providers in Berkley, MI

All providers in Berkley, MI · Physical Therapist in Michigan

Sources for this page

Verify at the official NPI Registry.