Healthcare Provider Details

I. General information

NPI: 1235093626
Provider Name (Legal Business Name): JUDY TOE
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/11/2025
Last Update Date: 12/11/2025
Certification Date: 12/11/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5532 S SICILY ST
AURORA CO
80015-6514
US

IV. Provider business mailing address

5532 S SICILY ST
AURORA CO
80015-6514
US

V. Phone/Fax

Practice location:
  • Phone: 720-431-9139
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code376J00000X
TaxonomyHomemaker
License Number
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: