Individual
NATHAN COLLETTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
005875
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
080005875CT03
ANTHEM BCBS
CT
Enumeration date
05/26/2006
Last updated
09/18/2007
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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