Healthcare Provider Details

I. General information

NPI: 1871325746
Provider Name (Legal Business Name): JACINTA ANN KAMINSKI PT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/19/2024
Last Update Date: 05/13/2026
Certification Date: 05/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

19964 HILLTOP RD STE B
PARKER CO
80134-7317
US

IV. Provider business mailing address

19964 HILLTOP RD STE B
PARKER CO
80134-7317
US

V. Phone/Fax

Practice location:
  • Phone: 303-840-4667
  • Fax: 303-840-4658
Mailing address:
  • Phone: 303-840-4667
  • Fax: 303-840-4658

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number21252
License Number StateCO
# 2
Primary TaxonomyN
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number052855
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: