MEDICARE: MRS. JULIE A YANCEY OTR

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225X00000X	Occupational Therapist	1527	CO

General Provider Information

NPI Number	:	1104815901
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. JULIE A YANCEY OTR

Provider Business Mailing Address
First Line	:	4900 S MONACO ST
Second Line	:	SUITE 210
City	:	DENVER
State	:	CO
Zip	:	80237-3486
Country	:	US
Telephone Number	:	303-451-7700
Fax Number	:	303-252-9474

Provider Business Practice Location Address
First Line	:	9195 GRANT ST
Second Line	:	SUITE 100
City	:	THORNTON
State	:	CO
Zip	:	80229-4386
Country	:	US
Telephone Number	:	303-451-7700
Fax Number	:	303-252-9474

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/14/2005
Last Update Date	:	01/11/2013

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