Healthcare Provider Details

I. General information

NPI: 1922911403
Provider Name (Legal Business Name): ARCHWAY CLINIC, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/24/2026
Last Update Date: 10/02/2026
Certification Date: 10/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4816 HILLTOP DR
FORT COLLINS CO
80526-7101
US

IV. Provider business mailing address

4816 HILLTOP DR
FORT COLLINS CO
80526-7101
US

V. Phone/Fax

Practice location:
  • Phone: 970-299-8845
  • Fax: 970-230-6646
Mailing address:
  • Phone: 970-299-8845
  • Fax: 970-230-6646

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number
License Number StateNULL

VIII. Authorized Official

Name: MEGAN WADLEY WILKES
Title or Position: OCCUPATIONAL THERAPIST
Credential: OTR/L
Phone: 970-299-8845