Healthcare Provider Details

I. General information

NPI: 1174442263
Provider Name (Legal Business Name): CODY SPYKER LSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/13/2026
Last Update Date: 07/13/2026
Certification Date: 07/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

190 E 9TH AVE STE 290
DENVER CO
80203-2744
US

IV. Provider business mailing address

190 E 9TH AVE STE 290
DENVER CO
80203-2744
US

V. Phone/Fax

Practice location:
  • Phone: 720-314-8118
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101Y00000X
TaxonomyCounselor
License NumberLSW.0009927616
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: