MEDICARE: MALLORY REGAN

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.0004602	CO

General Provider Information

NPI Number	:	1295260669
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MALLORY REGAN

Provider Business Mailing Address
First Line	:	1010 N CORONA ST
Second Line	:	APT 203
City	:	DENVER
State	:	CO
Zip	:	80218-2917
Country	:	US
Telephone Number	:	440-554-1380
Fax Number	:

Provider Business Practice Location Address
First Line	:	1010 N CORONA ST
Second Line	:	APT 203
City	:	DENVER
State	:	CO
Zip	:	80218-2917
Country	:	US
Telephone Number	:	440-554-1380
Fax Number	:

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

Provider Enumeration Date	:	04/24/2017
Last Update Date	:	04/24/2017

Similar Medicare Providers

1447230966 — DR. RICHARD K. MANN DDS
Practice Location Address:

7100 BROADWAY
DENVER, CO
80221-2917

Practice Phone: 303-650-5800
Practice Fax: 303-650-5800

1659513984 — COLORADO SPIRIT TRANSPORTATION, INC.
Practice Location Address:

1642 S PARKER RD STE 307
DENVER, CO
80231-2917

Practice Phone: 303-695-8888
Practice Fax:

1124401195 — MRS. HEIDI LYNN MILLER M.S. CF-SLP
Practice Location Address:

4502 W 11TH AVE
DENVER, CO
80204-2917

Practice Phone: 720-272-1289
Practice Fax:

1366959785 — GRACE HOME CARE AGENCY LLC
Practice Location Address:

1642 S PARKER RD STE 310A
DENVER, CO
80231-2917

Practice Phone: 720-535-4301
Practice Fax:

1114557527 — GISSEL BLANCA GONZALEZ
Practice Location Address:

77 S ADAMS ST APT 604
DENVER, CO
80209-2917

Practice Phone: 406-210-7521
Practice Fax:

1861069510 — STACY WALSH LCSW
Practice Location Address:

2620 OLIVE ST
DENVER, CO
80207-2917

Practice Phone: 772-284-2686
Practice Fax:

Directions to “ MALLORY REGAN ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.