Provider Demographics
NPI:1407193097
Name:HAMPTON, LINDA KAY (LPTA)
Entity Type:Individual
Prefix:
First Name:LINDA
Middle Name:KAY
Last Name:HAMPTON
Suffix:
Gender:F
Credentials:LPTA
Other - Prefix:
Other - First Name:LINDA
Other - Middle Name:KAY
Other - Last Name:SZATKOWSKI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:186 E SPAULDING AVE
Mailing Address - Street 2:
Mailing Address - City:PUEBLO WEST
Mailing Address - State:CO
Mailing Address - Zip Code:81007-1882
Mailing Address - Country:US
Mailing Address - Phone:303-330-4101
Mailing Address - Fax:
Practice Address - Street 1:1401 PHAY AVE
Practice Address - Street 2:
Practice Address - City:CANON CITY
Practice Address - State:CO
Practice Address - Zip Code:81212-2303
Practice Address - Country:US
Practice Address - Phone:719-458-1353
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-01-16
Last Update Date:2013-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COPTA.0012960225200000X
MI5502002991225200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225200000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapy Assistant