Provider Demographics
NPI:1295918720
Name:HENSON, KIMBERLY E (OTR)
Entity type:Individual
Prefix:MRS
First Name:KIMBERLY
Middle Name:E
Last Name:HENSON
Suffix:
Gender:F
Credentials:OTR
Other - Prefix:MISS
Other - First Name:KIMBERLY
Other - Middle Name:E
Other - Last Name:KNITTED
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:OTR
Mailing Address - Street 1:4900 S MONACO ST
Mailing Address - Street 2:#210
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80237-3486
Mailing Address - Country:US
Mailing Address - Phone:303-936-9700
Mailing Address - Fax:303-936-9686
Practice Address - Street 1:120 BRYANT ST
Practice Address - Street 2:SUITE 111
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80219-2141
Practice Address - Country:US
Practice Address - Phone:303-936-9700
Practice Address - Fax:303-936-9686
Is Sole Proprietor?:No
Enumeration Date:2007-12-06
Last Update Date:2011-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist