Individual
KATHERINE REILLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11169 E I25 FRONTAGE RD STE C, FIRESTONE, CO 80504-5211
(720) 600-0370
Mailing address
11169 E I25 FRONTAGE RD STE C, FIRESTONE, CO 80504-5211
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2151155
TX
225200000X
Physical Therapy Assistant
PTA.0014505
CO
Other
Enumeration date
12/03/2018
Last updated
07/03/2020
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