Provider Demographics
NPI:1194037531
Name:GUINTER, KRISTINE JANE (PT)
Entity type:Individual
Prefix:
First Name:KRISTINE
Middle Name:JANE
Last Name:GUINTER
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 636002
Mailing Address - Street 2:
Mailing Address - City:LITTLETON
Mailing Address - State:CO
Mailing Address - Zip Code:80163-6002
Mailing Address - Country:US
Mailing Address - Phone:303-694-2295
Mailing Address - Fax:
Practice Address - Street 1:3101 PACKERLAND DR
Practice Address - Street 2:
Practice Address - City:GREEN BAY
Practice Address - State:WI
Practice Address - Zip Code:54313-6187
Practice Address - Country:US
Practice Address - Phone:920-592-3845
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-07-13
Last Update Date:2010-07-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI4994-24225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist