Provider Demographics
NPI:1861733446
Name:MCKINLAY, CHRISTINE L
Entity type:Individual
Prefix:MRS
First Name:CHRISTINE
Middle Name:L
Last Name:MCKINLAY
Suffix:
Gender:F
Credentials:
Other - Prefix:MISS
Other - First Name:CHRISTINE
Other - Middle Name:L
Other - Last Name:SCHMITZ
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:OTR
Mailing Address - Street 1:2627 S EUDORA PL
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80222-6124
Mailing Address - Country:US
Mailing Address - Phone:303-759-5474
Mailing Address - Fax:303-759-5474
Practice Address - Street 1:7200 S. ALTON WAY, SUITE C250
Practice Address - Street 2:SUPPLEMENTAL HEALTHCARE
Practice Address - City:CENTENNIAL
Practice Address - State:CO
Practice Address - Zip Code:80112
Practice Address - Country:US
Practice Address - Phone:720-489-0790
Practice Address - Fax:720-489-0848
Is Sole Proprietor?:No
Enumeration Date:2013-03-07
Last Update Date:2013-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO02194225XP0019X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XP0019XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPhysical Rehabilitation