Healthcare Provider Details

I. General information

NPI: 1588134126
Provider Name (Legal Business Name): ROPES AND ROSES THERAPY SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/27/2018
Last Update Date: 10/15/2024
Certification Date: 10/15/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3905 TEN MILE RD
CASPER WY
82604-2894
US

IV. Provider business mailing address

5825 33 MILE RD
CASPER WY
82604
US

V. Phone/Fax

Practice location:
  • Phone: 307-267-7416
  • Fax: 949-404-6346
Mailing address:
  • Phone: 307-267-7416
  • Fax: 307-473-7827

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QR0400X
TaxonomyRehabilitation Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: KAROL M SANTISTEVAN
Title or Position: OWNER
Credential: OTR/L
Phone: 307-267-7416