Individual
MR. NATHANIEL KINGSBURY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
10201 WOODROSE CT, HIGHLANDS RANCH, CO 80129-5428
(214) 507-0057
Mailing address
10201 WOODROSE CT, HIGHLANDS RANCH, CO 80129-5428
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
—
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NA
NA
CO
Enumeration date
04/29/2022
Last updated
04/29/2022
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