Doctor Name: | MS. KATIE COLLINSWORTH |
NPI Number: | 1285762187 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PAC |
License Number: | 2033 |
Business Practice Address: | 13659 E 104th Ave #600a Commerce City, CO - 800229402 |
Business Phone Number: | 3039108281 |
Business Fax Number: | |
Mailing Address: | 10720 Billings St, COMMERCE CITY |
State: | CO |
Postal Code: | 800229474 |
Phone Number: | 3039108281 |
Fax Number: | |
NPI Enumeration Date: | 03/01/2007 |
NPI Last Update Date: | 04/15/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 204D00000X |
License Number: | 2033 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | CO |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Neuromusculoskeletal Medicine & OMM |
Taxonomy Specialization: | |
Taxonomy Definition: |