MEDICARE: MADISON LOFTHUS

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	235Z00000X	Speech-Language Pathologist	SLP.0006373	CO

General Provider Information

NPI Number	:	1588468441
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MADISON LOFTHUS

Provider Business Mailing Address
First Line	:	2821 S PARKER RD STE 615
Second Line	:
City	:	AURORA
State	:	CO
Zip	:	80014-2711
Country	:	US
Telephone Number	:	720-542-8737
Fax Number	:	720-242-8085

Provider Business Practice Location Address
First Line	:	4565 HILTON PKWY STE 101
Second Line	:
City	:	COLORADO SPRINGS
State	:	CO
Zip	:	80907-3540
Country	:	US
Telephone Number	:	719-633-9114
Fax Number	:	719-329-0495

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/01/2025
Last Update Date	:	04/01/2025

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Directions to “ MADISON LOFTHUS ” Practice Location

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