Healthcare Provider Details

I. General information

NPI: 1013689520
Provider Name (Legal Business Name): BAILEY LESHAY SATTERFIELD OTR/L
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/03/2021
Last Update Date: 10/03/2021
Certification Date: 10/03/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3801 E. FLORIDA AVE SUITE #917
DENVER CO
80210
US

IV. Provider business mailing address

4791 ROMAN CANDLE POINT APT 106
COLORADO SPRINGS CO
80917
US

V. Phone/Fax

Practice location:
  • Phone: 844-757-7450
  • Fax:
Mailing address:
  • Phone: 423-307-7269
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License NumberOT.0007076
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: