Brent Bailey Colgan in Sturtevant - Physical Therapist

Brent Bailey Colgan - NPI 1235274978

Brent Bailey Colgan is a Physical Therapist in Sturtevant, Wisconsin. Brent Bailey Colgan practices all healthcare services and medical treatments related to Physical Therapist. The NPI Number for Brent Bailey Colgan is 1235274978. The last update date is 2011-06-24.

Brent Bailey Colgan's current location address is Po Box 3497, Sturtevant, Wisconsin. You can contact this provider via phone number 8882011040 and fax number 8662458064. The mailing address for Brent Bailey Colgan is Po Box 3497, Sturtevant, Wisconsin. To know further, please read the information below!

Provider Profile Detail

Provider Name Brent Bailey Colgan
Address Po Box 3497, Sturtevant, Wisconsin
Phone Number 8882011040
Fax Number 8662458064
Sole Proprietor N
Credentials MPT

NPI Number Detail

NPI Number 1235274978
Provider Enumeration Date 2007-02-20
Last Updated Date 2011-06-24

Provider Mailing Address Detail

Address Po Box 3497
City Sturtevant
State Wisconsin (WI)
Post Code 531770300
Phone Number 8882011040
Fax Number 8662458064

Provider's Primary Taxonomy Detail

Speciality Physical Therapist
Taxonomy 225100000X
Licence No 118244
Definition:
Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and per

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
28075015 MO BCBS

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FAQs about Brent Bailey Colgan

What is the Brent Bailey Colgan's 1235274978?

The Brent Bailey Colgan's NPI (National Provider Identifier) Number is 1235274978. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).

Could you share the physical location details of Brent Bailey Colgan?

The Brent Bailey Colgan is situated at Po Box 3497, in the city of Sturtevant, state of WI, with the zip code 531770300.

What is the Brent Bailey Colgan's specialty and taxonomy code?

The Brent Bailey Colgan's specialty is Physical Therapist, and the corresponding taxonomy code is 225100000X.

On what date did the Centers for Medicare & Medicaid Services issue the 1235274978 to Brent Bailey Colgan?

The Brent Bailey Colgan received its 1235274978 assignment from the Centers for Medicare & Medicaid Services on 2007-02-20.

As of what date were the details related to Brent Bailey Colgan most recently updated or revised?

The information pertaining to Brent Bailey Colgan, including its address, specialty, and other relevant details, was last updated or revised on 2011-06-24.

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