Provider Demographics
NPI:1386202885
Name:ANDREW KENSLEY PT
Entity Type:Organization
Organization Name:ANDREW KENSLEY PT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ANDREW
Authorized Official - Middle Name:
Authorized Official - Last Name:KENSLEY
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:970-214-8256
Mailing Address - Street 1:4248 MCMURRY AVE
Mailing Address - Street 2:
Mailing Address - City:FORT COLLINS
Mailing Address - State:CO
Mailing Address - Zip Code:80525-3470
Mailing Address - Country:US
Mailing Address - Phone:970-214-8256
Mailing Address - Fax:
Practice Address - Street 1:4248 MCMURRY AVE
Practice Address - Street 2:
Practice Address - City:FORT COLLINS
Practice Address - State:CO
Practice Address - Zip Code:80525-3470
Practice Address - Country:US
Practice Address - Phone:970-214-8256
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-05-31
Last Update Date:2020-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy