Brandi N Collins, PT

Individual provider Active NPI Physical Therapist · West Liberty, KY

NPI 1629327093 · NPPES record last updated Aug 31, 2012

Key facts

NPI
1629327093
Entity type
Individual (NPI type 1)
Primary specialty
Physical Therapist 225100000X
Practice address
476 Liberty Rd
West Liberty, KY 41472-2049
Phone
(606) 743-3186
Fax
(606) 743-1693
NPI assigned
Aug 31, 2012
Sex
Female
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

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X Yes

Addresses

Primary practice location

476 Liberty Rd
West Liberty, KY 41472-2049

Mailing address

476 Liberty Rd
West Liberty, KY 41472-2049
Phone (606) 743-3186

Other identifiers

IdentifierTypeStateIssuer
03947OtherKYKENTUCKY STATE LICENSE

Other providers in West Liberty, KY

All providers in West Liberty, KY · Physical Therapist in Kentucky

Sources for this page

Verify at the official NPI Registry.