Individual
KEVIN THOMAS COLLINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
5107 N HEARSEY DR, AUSTIN, TX 78744-3099
(240) 888-6976
Mailing address
5107 N HEARSEY DR, AUSTIN, TX 78744-3099
(240) 888-6976
Taxonomy
Speciality
Code
Description
License number
State
172M00000X
Mechanotherapist
Primary
MT113058
TX
Other
Enumeration date
01/15/2020
Last updated
01/15/2020
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