Individual
KATHLEEN HERTZKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2912 42ND AVE, GREELEY, CO 80634-9581
(970) 339-0011
(970) 339-0068
Mailing address
427 PELICAN CV, WINDSOR, CO 80550-6125
(970) 674-3075
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
0012576
CO
Other
Enumeration date
04/23/2015
Last updated
04/23/2015
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