Individual
KELLY PANKRATZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
8540 SCARBOROUGH DR, COLORADO SPRINGS, CO 80920-7502
(719) 630-7500
Mailing address
901 SKYWAY BLVD, APT 211, COLORADO SPRINGS, CO 80905-7724
(480) 510-0424
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
0013724
CO
Other
Enumeration date
12/14/2016
Last updated
12/14/2016
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