Doctor Name: | KIMBERLY MICHELLE JUGE |
NPI Number: | 1104844653 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PT |
License Number: | 9074 |
Business Practice Address: | 275 S Main Street Suite 201 Longmont, CO - 80501 |
Business Phone Number: | 3036822440 |
Business Fax Number: | 3036820229 |
Mailing Address: | 4790 Table Mesa Drive, Suite 200 BOULDER |
State: | CO |
Postal Code: | 80305 |
Phone Number: | 3034472873 |
Fax Number: | 3034472741 |
NPI Enumeration Date: | 07/17/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 9074 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CO |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |