Provider Demographics
NPI:1851627020
Name:PRETEKIN, LINDA CORRINE (PT)
Entity Type:Individual
Prefix:MRS
First Name:LINDA
Middle Name:CORRINE
Last Name:PRETEKIN
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6063 S KINGSTON CIR
Mailing Address - Street 2:
Mailing Address - City:ENGLEWOOD
Mailing Address - State:CO
Mailing Address - Zip Code:80111-5732
Mailing Address - Country:US
Mailing Address - Phone:303-741-1231
Mailing Address - Fax:303-770-0928
Practice Address - Street 1:6063 S. KINGSTON CIRCLE
Practice Address - Street 2:
Practice Address - City:ENGLEWOOD
Practice Address - State:CO
Practice Address - Zip Code:80111
Practice Address - Country:US
Practice Address - Phone:303-741-1231
Practice Address - Fax:303-770-0928
Is Sole Proprietor?:Yes
Enumeration Date:2009-10-23
Last Update Date:2009-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA17052251G0304X
CO17052251G0304X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251G0304XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGeriatrics