Individual
KATHRYN WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1609 POPLAR ST, LEADVILLE, CO 80461-3059
(719) 486-2000
Mailing address
1609 POPLAR ST, LEADVILLE, CO 80461-3059
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
CO
Other
Enumeration date
06/02/2023
Last updated
07/25/2025
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