Whalio Doctors

NPI 1588813315

Chad Benton Kincaid, CPPT

Practitioner Prosthetist Fruita, CO

Practice location

Address
1380 Monument CT, Fruita, CO 81521-3053
Phone
(970) 639-2606

Registered specialties (2)

Prosthetist Primary
Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 224P00000X Licence CP003523
Physical Therapist
Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225100000X Licence 5335 (CO)

Registry record

NPI
1588813315
Entity type
Individual
Sex (as registered)
Male
NPI issued
17 Sep 2008
Record last updated
17 Sep 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.