Individual
KELLY ANNE POWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
660 GOLDEN RIDGE RD STE 130, GOLDEN, CO 80401
(303) 275-2190
Mailing address
660 GOLDEN RIDGE RD STE 130, GOLDEN, CO 80401-9541
(303) 275-2190
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
0012018
CO
Other
Enumeration date
01/17/2013
Last updated
12/08/2020
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