Provider Demographics
NPI:1295712107
Name:FINNIN, JENNIFER K (PT)
Entity type:Individual
Prefix:MRS
First Name:JENNIFER
Middle Name:K
Last Name:FINNIN
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:JENNIFER
Other - Middle Name:L
Other - Last Name:KINGMAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PT
Mailing Address - Street 1:8863 W QUARTO AVE
Mailing Address - Street 2:
Mailing Address - City:LITTLETON
Mailing Address - State:CO
Mailing Address - Zip Code:80128-4268
Mailing Address - Country:US
Mailing Address - Phone:303-452-4700
Mailing Address - Fax:303-451-5095
Practice Address - Street 1:401 MALLEY DR
Practice Address - Street 2:
Practice Address - City:NORTHGLENN
Practice Address - State:CO
Practice Address - Zip Code:80233-2024
Practice Address - Country:US
Practice Address - Phone:303-452-4700
Practice Address - Fax:303-451-5095
Is Sole Proprietor?:Yes
Enumeration Date:2005-12-30
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO3023225100000X
101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Not Answered101Y00000XBehavioral Health & Social Service ProvidersCounselor
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO3023OtherPT ;LICENSE
CO512398Medicare ID - Type Unspecified