Healthcare Provider Details

I. General information

NPI: 1306758073
Provider Name (Legal Business Name): ABBY BORDEWICK
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/18/2026
Last Update Date: 09/18/2026
Certification Date: 09/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3550 BARKWOOD DR
JOHNSTOWN CO
80534-8273
US

IV. Provider business mailing address

800 S TAFT AVE
LOVELAND CO
80537-6347
US

V. Phone/Fax

Practice location:
  • Phone: 970-613-7000
  • Fax:
Mailing address:
  • Phone: 970-613-5000
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number14544393
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: