Organization
JUMP START PHYSICAL THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KELLY N THORNTON DPT (PHYSICAL THERAPIST)
(303) 909-5743
Entity
Organization
Contact information
Practice address
555 E 10TH AVE, #502, DENVER, CO 80203-3255
(303) 909-5743
Mailing address
555 E 10TH AVE, #502, DENVER, CO 80203-3255
(303) 909-5743
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
11022
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
37979264
—
CO
Enumeration date
03/07/2016
Last updated
03/07/2016
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