CHAD BENTON KINCAID

FRUITA, CO
NPI1588813315
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy224P00000X Prosthetist
(Licence:   CP003523)
Additional Taxonomies225100000X Physical Therapist
(Licence: CO  5335)
Enumeration Date2008-09-17
Last Update Date2008-09-17
Business Address
Mr. CHAD BENTON KINCAID C.P. , P.T.
1380 MONUMENT CT
FRUITA, CO 81521-3053
Phone number: 970-639-2606
Mailing Address
Mr. CHAD BENTON KINCAID C.P. , P.T.
1380 MONUMENT CT
FRUITA, CO 81521-3053
Phone number: 970-639-2606