Healthcare Provider Details

I. General information

NPI: 1447161385
Provider Name (Legal Business Name): ASHTON THERAPY SERVICES PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/16/2026
Last Update Date: 09/16/2026
Certification Date: 09/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

75 MANHATTAN DR STE 201
BOULDER CO
80303-4252
US

IV. Provider business mailing address

3884 RED DEER TRL
BROOMFIELD CO
80020-5560
US

V. Phone/Fax

Practice location:
  • Phone: 720-386-6726
  • Fax:
Mailing address:
  • Phone: 720-386-6726
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name: ASHTON MULLEE
Title or Position: OWNER
Credential:
Phone: 720-386-6726