Healthcare Provider Details

I. General information

NPI: 1720481120
Provider Name (Legal Business Name): RACHEL SPADY PA-C
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/30/2014
Last Update Date: 04/23/2025
Certification Date: 04/23/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9195 GRANT STREET #300
THORNTON CO
80229-4386
US

IV. Provider business mailing address

8000 E MAPLEWOOD AVE STE 200
GREENWOOD VILLAGE CO
80111-4727
US

V. Phone/Fax

Practice location:
  • Phone: 303-286-5067
  • Fax: 303-991-9953
Mailing address:
  • Phone: 303-286-5067
  • Fax: 303-991-9953

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363AM0700X
TaxonomyMedical Physician Assistant
License NumberPT616
License Number StateWY
# 2
Primary TaxonomyY
Taxonomy Code363AM0700X
TaxonomyMedical Physician Assistant
License NumberPA.0004408
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: