Provider Demographics
NPI:1386260248
Name:DINKEL, CARYN LYNN (PT, DPT)
Entity type:Individual
Prefix:
First Name:CARYN
Middle Name:LYNN
Last Name:DINKEL
Suffix:
Gender:F
Credentials:PT, DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:19964 HILLTOP RD STE B
Mailing Address - Street 2:
Mailing Address - City:PARKER
Mailing Address - State:CO
Mailing Address - Zip Code:80134-7317
Mailing Address - Country:US
Mailing Address - Phone:303-840-4667
Mailing Address - Fax:303-840-4658
Practice Address - Street 1:19964 HILLTOP RD STE B
Practice Address - Street 2:
Practice Address - City:PARKER
Practice Address - State:CO
Practice Address - Zip Code:80134-7317
Practice Address - Country:US
Practice Address - Phone:303-840-4667
Practice Address - Fax:303-840-4658
Is Sole Proprietor?:No
Enumeration Date:2020-06-17
Last Update Date:2021-07-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2020028542225100000X
KS11-06416225100000X
CO17746225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist