Individual
KRISTEN S COLLINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
28230 N TATUM BLVD STE C4, CAVE CREEK, AZ 85331-6342
(602) 648-5444
(602) 772-3801
Mailing address
PO BOX 80217, PHOENIX, AZ 85060-0217
(602) 385-2115
(480) 418-3323
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
006219
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
099390
—
AZ
01
—
113748639
TAX ID
AZ
01
—
AZ0460590
BCBS AZ NUMBER
AZ
Enumeration date
06/23/2006
Last updated
08/11/2022
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