Individual
KATRINA SUDDUTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT, NCS
Contact information
Practice address
12740 W ATLANTIC AVE, LAKEWOOD, CO 80228-4308
(360) 521-2562
Mailing address
12740 W ATLANTIC AVE, LAKEWOOD, CO 80228-4308
(360) 521-2562
Taxonomy
Speciality
Code
Description
License number
State
2251N0400X
Neurology Physical Therapist
Primary
PTL.0013703
CO
Other
Enumeration date
09/02/2020
Last updated
09/02/2020
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