Individual
KASSIDY BOURGEOIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
4404 BARRANCA LN UNIT 101, CASTLE ROCK, CO 80104-7432
(720) 733-5270
(720) 733-5281
Mailing address
2695 ROCKY MOUNTAIN AVE STE 150, LOVELAND, CO 80538-9071
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PTL.0012657
CO
Other
Enumeration date
06/09/2014
Last updated
03/02/2021
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