Individual
MR. KIRK W. HENDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
1870 MARINA DR, WINDSOR, CO 80550-6251
(970) 674-6500
(970) 674-6599
Mailing address
1870 MARINA DR, WINDSOR, CO 80550-6251
(970) 674-6500
(970) 674-6599
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
10080
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
70683395
—
CO
Enumeration date
07/16/2008
Last updated
02/24/2015
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