Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2251N0400X | Physical Therapist - Neurology | 6736 | CO |
NPI | 1760408355 |
---|---|
Provider Name | Wendy A. Kriekels |
First Address | Denver, CO 80207-3112 |
Second Address | Denver, CO 80220-3808 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 15/07/2006 |
Last Update Date | 08/07/2007 |