MEDICARE: WEST SIDE HAND THERAPY

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	224Z00000X	Occupational Therapy Assistant
2	225XE1200X	Ergonomics Occupational Therapist
3	225XH1200X	Hand Occupational Therapist

General Provider Information

NPI Number	:	1053438341
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	WEST SIDE HAND THERAPY

Provider Business Mailing Address
First Line	:	PO BOX 1356
Second Line	:
City	:	WHEAT RIDGE
State	:	CO
Zip	:	80034-1356
Country	:	US
Telephone Number	:	303-237-8899
Fax Number	:	303-202-1863

Provider Business Practice Location Address
First Line	:	1262 BERGEN PKWY
Second Line	:	SUITE E18 #4
City	:	EVERGREEN
State	:	CO
Zip	:	80439-9546
Country	:	US
Telephone Number	:	303-237-8899
Fax Number	:	303-202-1863

Authorized Official
Title or Position	:	PRESIDENT
Name	:	KAREN VALISH
Credential	:
Telephone Number	:	303-237-8899

Provider Enumeration Date	:	03/23/2007
Last Update Date	:	06/26/2023

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Directions to “WEST SIDE HAND THERAPY ” Practice Location

Language	Start Address	Practice Location

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