Healthcare Provider Details

I. General information

NPI: 1871979591
Provider Name (Legal Business Name): KATHERINE ELIZABETH KINSINGER PT, DPT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/04/2015
Last Update Date: 10/28/2021
Certification Date: 10/28/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

602 ELKTON DR STE 110
COLORADO SPRINGS CO
80907-3514
US

IV. Provider business mailing address

602 ELKTON DR STE 110
COLORADO SPRINGS CO
80907-3514
US

V. Phone/Fax

Practice location:
  • Phone: 719-559-0680
  • Fax:
Mailing address:
  • Phone: 719-559-0680
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberPTL.0013493
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: