MEDICARE: KARISA MCINTYRE 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.0007711	CO

General Provider Information

NPI Number	:	1346954500
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KARISA MCINTYRE OTR/L

Provider Business Mailing Address
First Line	:	216 WRIGHT ST APT 106
Second Line	:
City	:	LAKEWOOD
State	:	CO
Zip	:	80228-1428
Country	:	US
Telephone Number	:	847-961-0117
Fax Number	:

Provider Business Practice Location Address
First Line	:	6060 E ILIFF AVE
Second Line	:
City	:	DENVER
State	:	CO
Zip	:	80222-5721
Country	:	US
Telephone Number	:	303-759-4221
Fax Number	:

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

Provider Enumeration Date	:	01/11/2023
Last Update Date	:	01/27/2026

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