Healthcare Provider Details

I. General information

NPI: 1033031646
Provider Name (Legal Business Name): MACIE LANE BROWNE
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/27/2026
Last Update Date: 07/27/2026
Certification Date: 07/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3400 LARAMIE DR
BOZEMAN MT
59718-2005
US

IV. Provider business mailing address

11536 W 26TH PL
LAKEWOOD CO
80215-7303
US

V. Phone/Fax

Practice location:
  • Phone: 720-237-4169
  • Fax:
Mailing address:
  • Phone: 720-237-4169
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225XP0019X
TaxonomyPhysical Rehabilitation Occupational Therapist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: