Organization
PINNACLE PHYSICAL THERAPY, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KRISTIE M BENNETT PT (OWNER/ PT)
(303) 502-4450
Entity
Organization
Contact information
Practice address
1449 LODGE LN UNIT B, BOULDER, CO 80303-8104
(303) 502-4450
(303) 440-7242
Mailing address
4266 REDWOOD CT, BOULDER, CO 80301-1636
(303) 502-4450
(303) 440-7242
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
1373
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1373
LICENSE
CO
01
—
C500538
PTAN
CO
Enumeration date
05/12/2006
Last updated
10/20/2020
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