Healthcare Provider Details

I. General information

NPI: 1457129009
Provider Name (Legal Business Name): UNIQUE PRINTS PEDIATRIC THERAPY SERVICES INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/13/2023
Last Update Date: 05/29/2026
Certification Date: 05/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9830 W 59TH PL
ARVADA CO
80004-5013
US

IV. Provider business mailing address

21045 N 9TH PL STE 204
PHOENIX AZ
85024-5635
US

V. Phone/Fax

Practice location:
  • Phone: 602-726-2300
  • Fax:
Mailing address:
  • Phone: 602-726-2300
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number State

VIII. Authorized Official

Name: RYAN R SHERMAN
Title or Position: OWNER
Credential:
Phone: 303-773-1034