Provider Demographics
NPI:1902272735
Name:HONKER, KRISTEN SYKES (DPT)
Entity Type:Individual
Prefix:DR
First Name:KRISTEN
Middle Name:SYKES
Last Name:HONKER
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5119 E CRESTONE AVE
Mailing Address - Street 2:
Mailing Address - City:CASTLE ROCK
Mailing Address - State:CO
Mailing Address - Zip Code:80104-8777
Mailing Address - Country:US
Mailing Address - Phone:720-879-4367
Mailing Address - Fax:
Practice Address - Street 1:5353 E YALE AVE
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80222-6902
Practice Address - Country:US
Practice Address - Phone:303-758-0849
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-08-17
Last Update Date:2015-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO11263225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist