Provider Demographics
NPI:1316173818
Name:BELZ, KIMBERLY D (PT)
Entity type:Individual
Prefix:MISS
First Name:KIMBERLY
Middle Name:D
Last Name:BELZ
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 1:1601 E 19TH AVE
Mailing Address - Street 2:SUITE #5500
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80218-1216
Mailing Address - Country:US
Mailing Address - Phone:720-402-3801
Mailing Address - Fax:720-402-3820
Practice Address - Street 1:1601 E 19TH AVE
Practice Address - Street 2:SUITE #5500
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80218-1216
Practice Address - Country:US
Practice Address - Phone:720-402-3801
Practice Address - Fax:720-402-3820
Is Sole Proprietor?:No
Enumeration Date:2009-06-10
Last Update Date:2014-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO10838225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist