Provider Demographics
NPI:1447436282
Name:WRIGHT, KELLEEN ANN (PT)
Entity type:Individual
Prefix:
First Name:KELLEEN
Middle Name:ANN
Last Name:WRIGHT
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 1:4952 E DAVIES DR
Mailing Address - Street 2:
Mailing Address - City:CENTENNIAL
Mailing Address - State:CO
Mailing Address - Zip Code:80122-2330
Mailing Address - Country:US
Mailing Address - Phone:720-877-3960
Mailing Address - Fax:303-751-6169
Practice Address - Street 1:4952 E DAVIES DR
Practice Address - Street 2:
Practice Address - City:CENTENNIAL
Practice Address - State:CO
Practice Address - Zip Code:80122-2330
Practice Address - Country:US
Practice Address - Phone:720-877-3960
Practice Address - Fax:303-751-6169
Is Sole Proprietor?:Yes
Enumeration Date:2008-01-10
Last Update Date:2024-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO3364225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist