Provider Demographics
NPI:1588773014
Name:COLLINS, KATHERINE MELISSA (PT, DPT, ATP)
Entity type:Individual
Prefix:MS
First Name:KATHERINE
Middle Name:MELISSA
Last Name:COLLINS
Suffix:
Gender:F
Credentials:PT, DPT, ATP
Other - Prefix:MS
Other - First Name:KATHERINE
Other - Middle Name:M
Other - Last Name:WOLFE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:5401 SOUTH ST
Mailing Address - Street 2:
Mailing Address - City:LINCOLN
Mailing Address - State:NE
Mailing Address - Zip Code:68506-2150
Mailing Address - Country:US
Mailing Address - Phone:402-486-8271
Mailing Address - Fax:402-486-8393
Practice Address - Street 1:5401 SOUTH ST
Practice Address - Street 2:
Practice Address - City:LINCOLN
Practice Address - State:NE
Practice Address - Zip Code:68506-2150
Practice Address - Country:US
Practice Address - Phone:402-486-8271
Practice Address - Fax:402-486-8393
Is Sole Proprietor?:No
Enumeration Date:2006-08-29
Last Update Date:2012-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE2448225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist