Individual
MIKI JO JENKINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
441 UNIVERSITY ST, TRINIDAD, CO 81082-2542
(719) 846-1500
Mailing address
441 UNIVERSITY ST, TRINIDAD, CO 81082-2542
(719) 846-1500
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
0011898
CO
Other
Enumeration date
09/04/2012
Last updated
04/09/2018
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