Individual
JENNIFER MARIE LYNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT, ATC, CSCS
Contact information
Practice address
660 GOLDEN RIDGE RD, SUITE 250, GOLDEN, CO 80401-9541
(303) 233-1223
(303) 233-1223
Mailing address
660 GOLDEN RIDGE RD, SUITE 250, GOLDEN, CO 80401-9541
(303) 233-1223
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PTL-10143
CO
2255A2300X
Athletic Trainer
070402660
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
72621818
—
CO
Enumeration date
08/19/2008
Last updated
09/19/2012
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