Individual
KATHRYN J MELLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
1400 JACKSON ST, DENVER, CO 80206-2761
(303) 388-4461
(303) 270-2174
Mailing address
1400 JACKSON ST, DENVER, CO 80206-2761
(303) 388-4461
(303) 270-2174
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PTL-5579
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00002
UNIVERSITY OF CO HEALTH S
CO
01
—
0101
CALIFORNIA STATE UNIVERSI
CA
Enumeration date
07/30/2007
Last updated
07/30/2007
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