Healthcare Provider Details

I. General information

NPI: 1003855115
Provider Name (Legal Business Name): ANN T. KING OTR, CHT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/05/2006
Last Update Date: 02/13/2025
Certification Date: 02/13/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1803 E CHEYENNE MOUNTAIN BLVD
COLORADO SPRINGS CO
80906-4027
US

IV. Provider business mailing address

9070 W CHEYENNE AVE STE 100
LAS VEGAS NV
89129-8935
US

V. Phone/Fax

Practice location:
  • Phone: 719-527-0848
  • Fax: 719-527-0838
Mailing address:
  • Phone: 719-495-3133
  • Fax: 719-495-8685

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225XH1200X
TaxonomyHand Occupational Therapist
License NumberOT.0002789
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: