Healthcare Provider Details

I. General information

NPI: 1659654069
Provider Name (Legal Business Name): ELIZABETH HANKINS OTR/L
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/21/2011
Last Update Date: 01/23/2025
Certification Date: 01/23/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9625 WILLIAMSBURG ST
LITTLETON CO
80125-7987
US

IV. Provider business mailing address

4408 JFK PKWY UNIT E-104
FORT COLLINS CO
80525-3274
US

V. Phone/Fax

Practice location:
  • Phone: 303-512-3377
  • Fax:
Mailing address:
  • Phone: 970-985-5377
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code133NN1002X
TaxonomyNutrition Education Nutritionist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number281054
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: