Individual
JESSICA SHATKIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
6909 S HOLLY CIR STE 100, CENTENNIAL, CO 80112-6300
(720) 389-8730
Mailing address
6909 S HOLLY CIR STE 100, CENTENNIAL, CO 80112-6300
(720) 389-8730
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PTL.0017770
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PTL.0017770
COLORADO STATE PHYSICAL THERAPY BOARD
CO
Enumeration date
07/06/2021
Last updated
07/06/2021
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