Provider Demographics
NPI:1295916781
Name:WINTLE, JENNIFER RENEE' LAMBERT (PT, DPT)
Entity type:Individual
Prefix:DR
First Name:JENNIFER
Middle Name:RENEE' LAMBERT
Last Name:WINTLE
Suffix:
Gender:F
Credentials:PT, DPT
Other - Prefix:
Other - First Name:JENNIFER
Other - Middle Name:
Other - Last Name:LAMBERT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1620 PLATTE ST APT 233
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80202-6108
Mailing Address - Country:US
Mailing Address - Phone:503-887-9426
Mailing Address - Fax:
Practice Address - Street 1:2000 MONTANA AVE
Practice Address - Street 2:
Practice Address - City:GLENDIVE
Practice Address - State:MT
Practice Address - Zip Code:59330-3700
Practice Address - Country:US
Practice Address - Phone:406-345-8855
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-11-26
Last Update Date:2025-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO9037225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist