Henderson, Kirk W.
Henderson, Kirk W. is an individual health care provider with primary practice located at 1870 Marina Dr , Windsor CO 80550-6251. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Henderson, Kirk W. can be contacted via phone (970) 674-6500.Contact Information
Primary practice address
1870 Marina Dr
Windsor CO 80550-6251
Phone: (970) 674-6500
Fax: (970) 674-6599
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | 10080 | Colorado |
Profile Details
| NPI number | 1265696488 |
|---|---|
| LBN Legal business name | Henderson, Kirk W. |
| Credentials | Physical Therapist (PT) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 16th, 2008 |
| Last updated | Feb 24th, 2015 - about 11 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1265696488 | NPPES |
| Colorado | MEDICAID | 70683395 |
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