Provider Demographics
NPI:1841527835
Name:YARBROUGH, KRISTY L (PT, DPT)
Entity type:Individual
Prefix:
First Name:KRISTY
Middle Name:L
Last Name:YARBROUGH
Suffix:
Gender:F
Credentials:PT, DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3900 E. MEXICO AVE.
Mailing Address - Street 2:SUITE 210, CENTERPOINT 1
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80210-3904
Mailing Address - Country:US
Mailing Address - Phone:303-691-3733
Mailing Address - Fax:303-691-1142
Practice Address - Street 1:3900 E. MEXICO AVE.
Practice Address - Street 2:SUITE 210, CENTERPOINT 1
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80210-3904
Practice Address - Country:US
Practice Address - Phone:303-691-3733
Practice Address - Fax:303-691-1142
Is Sole Proprietor?:No
Enumeration Date:2009-11-11
Last Update Date:2014-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COPTL0011950225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
PTL.0011950OtherPT-LICENSE(COLORADO)