Breanna Lee Colvin, DPT is a
Physical Therapist based in Randolph, Wisconsin. Breanna Lee Colvin is licensed to practice in * (Not Available) (license number ) and her current practice location is
502 S High St, Randolph, Wisconsin. She can be reached at her office (for appointments etc.) via phone at
(570) 620-6135.
NPI number for Breanna Lee Colvin is 1306503651 and her current mailing address is 212 S Henry St Apt 2, Madison, Wisconsin. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1306503651.
Healthcare Provider's Profile
| Full Name | Breanna Lee Colvin |
|---|
| Gender | Female |
|---|
| Speciality | Physical Therapist |
|---|
| Location | 502 S High St, Randolph, Wisconsin |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1306503651
- Provider Enumeration Date: 11/22/2021
- Last Update Date: 11/22/2021
Medical Identifiers
Medical identifiers for Breanna Lee Colvin such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1306503651 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 225100000X | Physical Therapist | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Breanna Lee Colvin is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Breanna Lee Colvin, DPT
212 S Henry St Apt 2,
Madison, WI 53703-4434
Ph: (570) 620-6135 | Breanna Lee Colvin, DPT
502 S High St,
Randolph, WI 53956-1499
Ph: (570) 620-6135 |
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