Provider Demographics
NPI:1013416486
Name:VALENZUELA, KARLY JO (DPT)
Entity Type:Individual
Prefix:
First Name:KARLY
Middle Name:JO
Last Name:VALENZUELA
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2350 LIMON DR
Mailing Address - Street 2:
Mailing Address - City:FORT COLLINS
Mailing Address - State:CO
Mailing Address - Zip Code:80525-7622
Mailing Address - Country:US
Mailing Address - Phone:309-582-6621
Mailing Address - Fax:
Practice Address - Street 1:2350 LIMON DR
Practice Address - Street 2:
Practice Address - City:FORT COLLINS
Practice Address - State:CO
Practice Address - Zip Code:80525-7622
Practice Address - Country:US
Practice Address - Phone:309-582-6621
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-02-12
Last Update Date:2023-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist