Bennett, Kristie M

Bennett, Kristie M is an individual health care provider with primary practice located at 3434 47Th St Ste 107, Boulder CO 80301-1880. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Bennett, Kristie M can be contacted via phone (303) 440-7078.

Contact Information

Primary practice address
3434 47Th St Ste 107 Boulder CO 80301-1880
Phone: (303) 440-7078
Fax: (303) 440-7242
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 1373 Colorado

Profile Details

NPI number 1033174917
LBN Legal business name Bennett, Kristie M
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 20th, 2006
Last updated Dec 11th, 2008 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1033174917 NPPES
Colorado Other C500548 PTAN

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