Healthcare Provider Details

I. General information

NPI: 1073455796
Provider Name (Legal Business Name): KAYLIE ELIZABETH CROZIER
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/09/2026
Last Update Date: 04/09/2026
Certification Date: 04/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4891 INDEPENDENCE ST
WHEAT RIDGE CO
80033-6752
US

IV. Provider business mailing address

4891 INDEPENDENCE ST
WHEAT RIDGE CO
80033-6752
US

V. Phone/Fax

Practice location:
  • Phone: 303-756-0280
  • Fax:
Mailing address:
  • Phone: 303-756-0280
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225XP0200X
TaxonomyPediatric Occupational Therapist
License NumberOT.0009243
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: