Provider Demographics
NPI:1902485857
Name:COLLIN ENTERPRISES INC
Entity Type:Organization
Organization Name:COLLIN ENTERPRISES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:GISELE
Authorized Official - Middle Name:
Authorized Official - Last Name:COLLIN HALL
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:303-956-4617
Mailing Address - Street 1:PO BOX 924
Mailing Address - Street 2:
Mailing Address - City:CONIFER
Mailing Address - State:CO
Mailing Address - Zip Code:80433-0924
Mailing Address - Country:US
Mailing Address - Phone:303-956-4617
Mailing Address - Fax:
Practice Address - Street 1:23324 VALLEY HIGH RD
Practice Address - Street 2:
Practice Address - City:MORRISON
Practice Address - State:CO
Practice Address - Zip Code:80465-2570
Practice Address - Country:US
Practice Address - Phone:039-564-6173
Practice Address - Fax:303-500-6116
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-04-07
Last Update Date:2021-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty