Individual
JONATHAN WALTER KUPIEC
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
701 DELAWARE AVE UNIT E, LONGMONT, CO 80501-6498
(720) 204-4567
Mailing address
701 DELAWARE AVE UNIT E, LONGMONT, CO 80501-6498
(720) 204-4567
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PTL.0020057
CO
Other
Enumeration date
08/13/2024
Last updated
08/13/2024
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