Individual
AMBER KIDDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2201 S LEMAY AVE, FORT COLLINS, CO 80525-1900
(970) 221-1167
Mailing address
5700 HUMMEL LN, FORT COLLINS, CO 80525-9456
(970) 224-3233
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA.0012621
CO
Other
Enumeration date
11/08/2016
Last updated
11/08/2016
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