Individual
JENNA M KINCAID
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
140 EAST BOARDWALK DRIVE, UNIT A, FORT COLLINS, CO 80525-3153
(970) 223-8293
Mailing address
425 S CHERRY ST, STE 1000, DENVER, CO 80246-1236
(970) 223-8293
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
10916
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10916
CO LICENSE #
CO
Enumeration date
09/03/2009
Last updated
02/27/2017
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