Provider Demographics
NPI:1679653984
Name:SAUNDERS, KIMBERLY MICHELLE (DPT)
Entity Type:Individual
Prefix:
First Name:KIMBERLY
Middle Name:MICHELLE
Last Name:SAUNDERS
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:KIMBERLY
Other - Middle Name:MICHELLE
Other - Last Name:KOERNER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MSPT
Mailing Address - Street 1:3938 JFK PKWY
Mailing Address - Street 2:
Mailing Address - City:FORT COLLINS
Mailing Address - State:CO
Mailing Address - Zip Code:80525-3086
Mailing Address - Country:US
Mailing Address - Phone:970-207-1500
Mailing Address - Fax:970-207-0075
Practice Address - Street 1:3938 JFK PKWY
Practice Address - Street 2:
Practice Address - City:FORT COLLINS
Practice Address - State:CO
Practice Address - Zip Code:80525-3086
Practice Address - Country:US
Practice Address - Phone:970-207-1500
Practice Address - Fax:970-207-0075
Is Sole Proprietor?:No
Enumeration Date:2006-10-17
Last Update Date:2016-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO7031225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
1679653984OtherNPI
1679653984OtherNPI