Healthcare Provider Details

I. General information

NPI: 1508654211
Provider Name (Legal Business Name): KIMBERLY A FOSTER OTR
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/30/2025
Last Update Date: 04/30/2025
Certification Date: 04/30/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2101 S GARFIELD AVE
LOVELAND CO
80537-7377
US

IV. Provider business mailing address

45691 COUNTY ROAD 15
FORT COLLINS CO
80524-9109
US

V. Phone/Fax

Practice location:
  • Phone: 970-669-3100
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number1075136
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: