Individual
MR. MICHAEL J. COLBY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
7 S ALLIANCE DR STE 211B, GOOSE CREEK, SC 29445-7297
(843) 553-4383
(843) 553-4384
Mailing address
1411 FALLS AVE E STE 401, TWIN FALLS, ID 83301-3455
(208) 969-9945
(201) 944-0488
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5295
ID
225100000X
Physical Therapist
9660
SC
225100000X
Physical Therapist
—
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
TH3929
—
SC
Enumeration date
06/01/2011
Last updated
08/31/2020
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