Provider Demographics
NPI:1033146311
Name:MINTER, KRISTINE (PT)
Entity Type:Individual
Prefix:
First Name:KRISTINE
Middle Name:
Last Name:MINTER
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9498 S JOHNSON ST
Mailing Address - Street 2:
Mailing Address - City:LITTLETON
Mailing Address - State:CO
Mailing Address - Zip Code:80127-8590
Mailing Address - Country:US
Mailing Address - Phone:720-283-7290
Mailing Address - Fax:
Practice Address - Street 1:9719 W COAL MINE AVE
Practice Address - Street 2:UNIT D
Practice Address - City:LITTLETON
Practice Address - State:CO
Practice Address - Zip Code:80123-8004
Practice Address - Country:US
Practice Address - Phone:303-932-1200
Practice Address - Fax:303-932-7276
Is Sole Proprietor?:No
Enumeration Date:2006-06-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO8435225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist