Provider Demographics
NPI:1689085078
Name:FORSYTH, KATHRYN (MS, ATC)
Entity Type:Individual
Prefix:
First Name:KATHRYN
Middle Name:
Last Name:FORSYTH
Suffix:
Gender:F
Credentials:MS, ATC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1235 GRANT ST
Mailing Address - Street 2:APT 614
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80203-2325
Mailing Address - Country:US
Mailing Address - Phone:517-712-0857
Mailing Address - Fax:
Practice Address - Street 1:UNIVERSITY OF DENVER
Practice Address - Street 2:2201 E. ASBURY AVE, RM 1312
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80208-0001
Practice Address - Country:US
Practice Address - Phone:303-871-2225
Practice Address - Fax:303-871-3666
Is Sole Proprietor?:No
Enumeration Date:2014-05-19
Last Update Date:2014-10-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO00008142255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer