MEDICARE: FREE REIN EQUINE THERAPY

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YP2500X	Professional Counselor

General Provider Information

NPI Number	:	1447197876
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FREE REIN EQUINE THERAPY

Provider Business Mailing Address
First Line	:	16791 TELLURIDE ST
Second Line	:
City	:	BRIGHTON
State	:	CO
Zip	:	80601-4221
Country	:	US
Telephone Number	:	303-883-1926
Fax Number	:

Provider Business Practice Location Address
First Line	:	16791 TELLURIDE ST
Second Line	:
City	:	BRIGHTON
State	:	CO
Zip	:	80601-4221
Country	:	US
Telephone Number	:	303-883-1926
Fax Number	:

Authorized Official
Title or Position	:	OWNER/COUNSELOR
Name	:	KIMBERLY ANN LOGAN
Credential	:	LPC
Telephone Number	:	303-883-1926

Provider Enumeration Date	:	05/04/2026
Last Update Date	:	05/04/2026

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Directions to “FREE REIN EQUINE THERAPY ” Practice Location

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