Doctor Name: | MS. KRISTIN RAE GORDON |
NPI Number: | 1801106489 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | O.T.R. |
License Number: | 1681 |
Business Practice Address: | 2049 Ranch Gate Trl Castle Rock, CO - 801047794 |
Business Phone Number: | 7208701665 |
Business Fax Number: | 7208703827 |
Mailing Address: | 2049 Ranch Gate Trl, CASTLE ROCK |
State: | CO |
Postal Code: | 801047794 |
Phone Number: | 7208701665 |
Fax Number: | 7208703827 |
NPI Enumeration Date: | 10/15/2010 |
NPI Last Update Date: | 10/15/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | 1681 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CO |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |