MEDICARE: COURTNEY HEIDLE OTR/L

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	OT.0008745	CO

General Provider Information

NPI Number	:	1245826478
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	COURTNEY HEIDLE OTR/L

Provider Business Mailing Address
First Line	:	1325 S COLORADO BLVD STE 602
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80222-3323
Country	:	US
Telephone Number	:	303-427-5020
Fax Number	:

Provider Business Practice Location Address
First Line	:	1325 S COLORADO BLVD STE 602
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80222-3323
Country	:	US
Telephone Number	:	303-427-5020
Fax Number	:

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

Provider Enumeration Date	:	12/11/2020
Last Update Date	:	04/06/2026

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Directions to “ COURTNEY HEIDLE OTR/L” Practice Location

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