Basic Information
| Provider Information | |||||||||
| NPI: | 1669919403 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | SANCHEZ | ||||||||
| FirstName: | KRISTEN | ||||||||
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| Credential: | PT, DPT | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1001 E BAYAUD AVE | ||||||||
| Address2: | APT 907 | ||||||||
| City: | DENVER | ||||||||
| State: | CO | ||||||||
| PostalCode: | 802092303 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9254871904 | ||||||||
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| Practice Location | |||||||||
| Address1: | 24300 E SMOKY HILL RD | ||||||||
| Address2: | UNIT 106 | ||||||||
| City: | AURORA | ||||||||
| State: | CO | ||||||||
| PostalCode: | 800161387 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3036801772 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 01/31/2017 | ||||||||
| LastUpdateDate: | 01/31/2017 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 225100000X | PTL0014510 | CO | Y | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Physical Therapist |
No ID Information.