Individual
JOHN NATHAN VANVYNCKT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2435 RESEARCH PKWY # 225, COLORADO SPRINGS, CO 80920-1070
(719) 260-8400
Mailing address
6541 ANTELOPE RUN CIR APT 307, COLORADO SPRINGS, CO 80924-8506
(772) 696-2178
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA.0015428
CO
Other
Enumeration date
10/19/2023
Last updated
11/25/2025
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