Individual
KRISTEN A MERRELL
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
MPT
Contact information
Practice address
180 EAGLE DR, GOLDEN, CO 80403-7775
(719) 640-8269
Mailing address
180 EAGLE DR, GOLDEN, CO 80403-7775
(719) 640-8269
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
8693
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
53933567
—
CO
Enumeration date
03/22/2006
Last updated
07/09/2007
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