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NPI Code Detail

MEDICARE: LINDSEY KOSS

MEDICARE: LINDSEY KOSS
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
1224Z00000XOccupational Therapy AssistantOTA0000635CO

General Provider Information

NPI Number : 1538534490
Entity Type Code : Individual
Provider Name (Legal Business Name) : LINDSEY KOSS
Provider Business Mailing Address
First Line : 6922 MCMAHON ST APT B
Second Line :
City : COLORADO SPRINGS
State : CO
Zip : 80902-7300
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1719 E BIJOU ST
Second Line :
City : COLORADO SPRINGS
State : CO
Zip : 80909-5736
Country : US
Telephone Number : 719-444-4920
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/03/2015
Last Update Date : 12/03/2015

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Directions to “ LINDSEY KOSS ” Practice Location

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