MEDICARE: CHRISTINE M. KITTLES M.S.P.T.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225100000X	Physical Therapist	8627	CO

General Provider Information

NPI Number	:	1164479333
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHRISTINE M. KITTLES M.S.P.T.

Provider Business Mailing Address
First Line	:	6979 S HOLLY CIR
Second Line	:	STE 105
City	:	CENTENNIAL
State	:	CO
Zip	:	80112-1577
Country	:	US
Telephone Number	:	303-694-2295
Fax Number	:	303-694-1843

Provider Business Practice Location Address
First Line	:	50 S STEELE ST
Second Line	:	STE 550
City	:	DENVER
State	:	CO
Zip	:	80209-2805
Country	:	US
Telephone Number	:	303-393-6533
Fax Number	:	303-393-7846

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/31/2006
Last Update Date	:	07/09/2007

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Directions to “ CHRISTINE M. KITTLES M.S.P.T.” Practice Location

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