Healthcare Provider Details

I. General information

NPI: 1568394740
Provider Name (Legal Business Name): MICHAEL ANDREW UEBBING OTR/L
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/01/2026
Last Update Date: 06/01/2026
Certification Date: 06/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4800 TABOR ST
WHEAT RIDGE CO
80033-2112
US

IV. Provider business mailing address

10133 SHERRILL BLVD STE 200
KNOXVILLE TN
37932-3347
US

V. Phone/Fax

Practice location:
  • Phone: 303-421-4161
  • Fax:
Mailing address:
  • Phone: 865-531-2204
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225XG0600X
TaxonomyGerontology Occupational Therapist
License NumberOT.0005254
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: