Individual
GRANT MICHAEL COLLINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
2166 NORTH WESTWOOD BLVD, POPLAR BLUFF, MO 63901-2440
(573) 712-2696
(573) 712-2991
Mailing address
2166 N WESTWOOD BLVD, POPLAR BLUFF, MO 63901-2440
(573) 712-2696
(573) 712-2991
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2008020468
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1457679730
—
MO
Enumeration date
05/11/2010
Last updated
03/09/2026
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