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Contact Information

EDYTA H KOLASA, PTA
8975 BIG OAK DRIVE
MURFREESBORO, TN37129
 Phone: 760-318-5648
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physical Therapy Assistant

225200000X
 

Contractor

171W00000X
Indicates primary specialty

NPI Profile & details for EDYTA H KOLASA · (Female)

NPI Number 1467812230
Status Active
Credentials PTA (Physical Therapist Assistant)
Entity Individual
Enumeration date 03/07/2016
Last updated 12/01/2020 - About 6 years ago
Sole proprietor 1 No
Identifiers
  • KY License # A03424
  • KY License # PTA-A03424
  • TN License # PTA0000006184
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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