Provider Demographics
NPI:1639467863
Name:KRONCKE, RACHEL M (DPT)
Entity type:Individual
Prefix:
First Name:RACHEL
Middle Name:M
Last Name:KRONCKE
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:PO BOX 270217
Mailing Address - Street 2:
Mailing Address - City:LOUISVILLE
Mailing Address - State:CO
Mailing Address - Zip Code:80027-5003
Mailing Address - Country:US
Mailing Address - Phone:303-446-2200
Mailing Address - Fax:303-446-2201
Practice Address - Street 1:11025 DOVER ST
Practice Address - Street 2:SUITE 400
Practice Address - City:WESTMINSTER
Practice Address - State:CO
Practice Address - Zip Code:80021-5570
Practice Address - Country:US
Practice Address - Phone:303-446-2200
Practice Address - Fax:303-446-2201
Is Sole Proprietor?:No
Enumeration Date:2011-07-21
Last Update Date:2011-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO113292251X0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedic