Individual
KAYCE ANN IMMING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
2021 N 12TH ST, GRAND JUNCTION, CO 81501-2980
(970) 256-6380
Mailing address
2004 N 12TH ST, GRAND JUNCTION, CO 81501-2982
(970) 256-6380
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
9713
CO
Other
Enumeration date
08/08/2007
Last updated
08/10/2007
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