Individual
MRS. KATHE KRISTIN DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
511 W 29TH ST, PUEBLO, CO 81008-1128
(719) 545-1900
Mailing address
4305 ST ANDREWS DR, PUEBLO, CO 81001-1164
(719) 544-8771
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
3879
CO
Other
Enumeration date
05/30/2007
Last updated
07/09/2007
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