Provider Demographics
NPI:1124042650
Name:ZINK, LENNEA (PT)
Entity Type:Individual
Prefix:
First Name:LENNEA
Middle Name:
Last Name:ZINK
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:LENNEA
Other - Middle Name:
Other - Last Name:DAHLGREN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2964 GINNALA DR
Mailing Address - Street 2:
Mailing Address - City:LOVELAND
Mailing Address - State:CO
Mailing Address - Zip Code:80538-2701
Mailing Address - Country:US
Mailing Address - Phone:970-667-7755
Mailing Address - Fax:
Practice Address - Street 1:2964 GINNALA DR
Practice Address - Street 2:
Practice Address - City:LOVELAND
Practice Address - State:CO
Practice Address - Zip Code:80538-2701
Practice Address - Country:US
Practice Address - Phone:970-667-7755
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-07-27
Last Update Date:2022-10-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO7858225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO804457Medicare PIN