Provider Demographics
NPI:1194056077
Name:JUHLIN, KRISTA MARIE (DPT)
Entity type:Individual
Prefix:
First Name:KRISTA
Middle Name:MARIE
Last Name:JUHLIN
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3482 VALENTIA ST
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80238-2878
Mailing Address - Country:US
Mailing Address - Phone:860-307-9314
Mailing Address - Fax:
Practice Address - Street 1:12510 E ILIFF AVE STE 210
Practice Address - Street 2:
Practice Address - City:AURORA
Practice Address - State:CO
Practice Address - Zip Code:80014-6377
Practice Address - Country:US
Practice Address - Phone:303-862-8853
Practice Address - Fax:720-379-5827
Is Sole Proprietor?:Yes
Enumeration Date:2010-01-17
Last Update Date:2023-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO0018301225100000X
CT007104225100000X
COPTL.0018301225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist