Individual
MR. KENNETH JAMES BOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
10001 S OSWEGO ST, PARKER, CO 80134-3786
(720) 928-3229
Mailing address
11463 W PROGRESS PL, LITTLETON, CO 80127-1683
(303) 903-3603
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
0014655
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PTA.0014655
DORA - COLORADO
CO
Enumeration date
01/22/2021
Last updated
01/22/2021
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