Maribelle Collado, RPT
Individual provider Active NPI Physical Therapist · Onaga, KS
NPI 1649235334 · NPPES record last updated Dec 19, 2007
Key facts
- NPI
- 1649235334
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 11-01976 (KS)
- Practice address
- 120 W 8TH St
Onaga, KS 66521-9574 - Phone
- (785) 889-4921
- Fax
- (785) 889-4117
- NPI assigned
- Apr 18, 2006
- 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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11-01976 | KS | MD | Physical Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 11-01976 | KS | Yes |
Addresses
Primary practice location
120 W 8TH St
Onaga, KS 66521-9574
Mailing address
808 Whitetail Pass
Manhattan, KS 66503-2589
Phone (785) 776-7421
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 059545 | Other | KS | BLUE SHIELD |
Other providers in Onaga, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 19, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.