Provider Demographics
NPI:1881920668
Name:RESLEY, KRISTINE E (P T)
Entity type:Individual
Prefix:
First Name:KRISTINE
Middle Name:E
Last Name:RESLEY
Suffix:
Gender:F
Credentials:P T
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9064 MINERS PL
Mailing Address - Street 2:
Mailing Address - City:HIGHLANDS RANCH
Mailing Address - State:CO
Mailing Address - Zip Code:80126-5058
Mailing Address - Country:US
Mailing Address - Phone:720-300-9901
Mailing Address - Fax:303-346-3050
Practice Address - Street 1:9064 MINERS PL
Practice Address - Street 2:
Practice Address - City:HIGHLANDS RANCH
Practice Address - State:CO
Practice Address - Zip Code:80126-5058
Practice Address - Country:US
Practice Address - Phone:720-300-9901
Practice Address - Fax:303-346-3050
Is Sole Proprietor?:Yes
Enumeration Date:2009-10-28
Last Update Date:2009-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COPTL7456225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist