Individual
JACKI ANN GILPIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
2712 FAIRWAY DR, CORTEZ, CO 81321-9318
(970) 715-1719
(970) 422-7238
Mailing address
2712 FAIRWAY DR, CORTEZ, CO 81321-9318
(970) 715-1719
(970) 422-7238
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
0014492
CO
225100000X
Physical Therapist
60708
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0329389
WA L&I
OR
05
—
500675873
—
OR
Enumeration date
08/07/2014
Last updated
06/01/2021
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