Individual
NICOLE COLLISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
4190 LOBERG AVE, HERMANTOWN, MN 55811-2652
(218) 249-6040
Mailing address
4190 LOBERG AVE, HERMANTOWN, MN 55811-2652
(218) 249-6040
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
006838
KY
225100000X
Physical Therapist
05012396A
IN
225100000X
Physical Therapist
Primary
11205
MN
225100000X
Physical Therapist
5501017681
MI
Other
Enumeration date
05/24/2016
Last updated
03/13/2026
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