Healthcare Provider Details

I. General information

NPI: 1619580123
Provider Name (Legal Business Name): KARI JO KINSOLVING PT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: KARI JO BORCHGREVINK PT

II. Dates (important events)

Enumeration Date: 08/25/2020
Last Update Date: 06/13/2025
Certification Date: 06/13/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

600 CENTRAL AVE SE STE D
ALBUQUERQUE NM
87102-4650
US

IV. Provider business mailing address

305 E LAKEWAY RD
GILLETTE WY
82718-6301
US

V. Phone/Fax

Practice location:
  • Phone: 505-242-2294
  • Fax: 505-242-2917
Mailing address:
  • Phone: 307-696-6045
  • Fax: 307-696-6046

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberPT-2428
License Number StateWY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: