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NPI Code Detail

MEDICARE: BRAINSTORM THERAPY SERVICES LLC

MEDICARE: BRAINSTORM THERAPY SERVICES LLC
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
1235Z00000XSpeech-Language Pathologist
2261QH0700XHearing and Speech Clinic/Center

General Provider Information

NPI Number : 1518679281
Entity Type Code : Organization
Provider Name (Legal Business Name) : BRAINSTORM THERAPY SERVICES LLC
Provider Business Mailing Address
First Line : 864 S LEWIS ST
Second Line :
City : LAKEWOOD
State : CO
Zip : 80226-3926
Country : US
Telephone Number : 309-825-5082
Fax Number : 888-375-4692
Provider Business Practice Location Address
First Line : 3401 QUEBEC ST STE 6900
Second Line :
City : DENVER
State : CO
Zip : 80207-2399
Country : US
Telephone Number : 720-204-2929
Fax Number : 888-375-4692
Authorized Official
Title or Position : OWNER
Name : NATALIE BOWMAN
Credential :
Telephone Number : 720-204-2929
Provider Enumeration Date : 12/14/2022
Last Update Date : 02/07/2025

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Directions to “BRAINSTORM THERAPY SERVICES LLC ” Practice Location

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