Healthcare Provider Details

I. General information

NPI: 1982528832
Provider Name (Legal Business Name): COPPER SKY HEARING & TINNITUS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/05/2026
Last Update Date: 08/05/2026
Certification Date: 08/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2585 MIRACLE MILE STE 106
BULLHEAD CITY AZ
86442-7553
US

IV. Provider business mailing address

1930 VILLAGE CENTER CIR STE 3
LAS VEGAS NV
89134-6245
US

V. Phone/Fax

Practice location:
  • Phone: 928-352-8060
  • Fax: 928-352-8044
Mailing address:
  • Phone: 702-280-8486
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code237600000X
TaxonomyAudiologist-Hearing Aid Fitter
License Number
License Number State

VIII. Authorized Official

Name: ROBYN LOFTON
Title or Position: OWNER
Credential: BC-HIS
Phone: 928-352-8060