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Individual

KRISTA A PAINTNER-RUDOLPH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DPT

Contact information

Practice address
2500 E PROSPECT RD, FORT COLLINS, CO 80525-9718
(970) 493-0112
Mailing address
2500 E PROSPECT RD, FORT COLLINS, CO 80525-9718
(970) 493-0112

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PTL.0008838
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
121995200
WY
05
62974831
CO
01
P00402180
RR MEDICARE
CO
Enumeration date
12/05/2005
Last updated
12/16/2019
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