Individual
KAITLYN MANKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
135 W ROCKRIMMON BLVD APT 10, COLORADO SPRINGS, CO 80919-4040
(724) 963-9712
Mailing address
135 W ROCKRIMMON BLVD APT 10, COLORADO SPRINGS, CO 80919-4040
(724) 963-9712
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
0013987
CO
Other
Enumeration date
12/15/2017
Last updated
12/15/2017
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