Individual
COLLEEN M MICHALS
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
3915 GOLDEN VALLEY RD, COURAGE CENTER, GOLDEN VALLEY, MN 55422-4298
(760) 520-0413
(763) 520-0355
Mailing address
3915 GOLDEN VALLEY RD, COURAGE CENTER, GOLDEN VALLEY, MN 55422-4298
(760) 520-0413
(763) 520-0355
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
7070
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
269J2PE
BCBS
MN
01
—
6403369
MEDICA
—
01
—
HP41188
HEALTHPARTNERS
—
Enumeration date
04/26/2006
Last updated
07/08/2007
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