Healthcare Provider Details

I. General information

NPI: 1558181859
Provider Name (Legal Business Name): PUZZLE PIECE THERAPY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/12/2024
Last Update Date: 10/23/2024
Certification Date: 10/23/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6595 S DAYTON ST STE 3500
GREENWOOD VILLAGE CO
80111-6269
US

IV. Provider business mailing address

6595 S DAYTON ST STE 3500
GREENWOOD VILLAGE CO
80111-6269
US

V. Phone/Fax

Practice location:
  • Phone: 720-507-5087
  • Fax:
Mailing address:
  • Phone: 720-338-9762
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number
License Number State

VIII. Authorized Official

Name: SANDRA KAY STEWART
Title or Position: OWNER
Credential:
Phone: 303-343-4110