MEDICARE: MRS. CYNTHIA A MCKENNA 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	103499	CO

General Provider Information

NPI Number	:	1154490662
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. CYNTHIA A MCKENNA OTR

Provider Business Mailing Address
First Line	:	561 E GARDEN DR
Second Line	:
City	:	WINDSOR
State	:	CO
Zip	:	80550-3148
Country	:	US
Telephone Number	:	970-833-5686
Fax Number	:

Provider Business Practice Location Address
First Line	:	1214 OAK PARK DR
Second Line	:
City	:	FORT COLLINS
State	:	CO
Zip	:	80525-7302
Country	:	US
Telephone Number	:	970-226-6675
Fax Number	:

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

Provider Enumeration Date	:	11/07/2006
Last Update Date	:	12/05/2025

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