Healthcare Provider Details

I. General information

NPI: 1447197876
Provider Name (Legal Business Name): FREE REIN EQUINE THERAPY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/04/2026
Last Update Date: 05/04/2026
Certification Date: 05/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

16791 TELLURIDE ST
BRIGHTON CO
80601-4221
US

IV. Provider business mailing address

16791 TELLURIDE ST
BRIGHTON CO
80601-4221
US

V. Phone/Fax

Practice location:
  • Phone: 303-883-1926
  • Fax:
Mailing address:
  • Phone: 303-883-1926
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number State

VIII. Authorized Official

Name: KIMBERLY ANN LOGAN
Title or Position: OWNER/COUNSELOR
Credential: LPC
Phone: 303-883-1926