| Doctor Name: | DR. NATHANIEL BLAINE COLLINS |
| NPI Number: | 1043565799 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | D.P.T. |
| License Number: | 0011773 |
| Business Practice Address: | 1775 S 8th St Colorado Springs, CO - 809051926 |
| Business Phone Number: | 7194776870 |
| Business Fax Number: | 7194771483 |
| Mailing Address: | 311 Pyrite Ter, COLORADO SPRINGS |
| State: | CO |
| Postal Code: | 809054289 |
| Phone Number: | 7859796464 |
| Fax Number: | |
| NPI Enumeration Date: | 07/18/2012 |
| NPI Last Update Date: | 01/22/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | 0011773 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CO |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Physical Therapist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |