MEDICARE: ACHIEVE THERAPY LLC

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	104100000X	Social Worker
2	133V00000X	Registered Dietitian
3	225X00000X	Occupational Therapist
4	235Z00000X	Speech-Language Pathologist

General Provider Information

NPI Number	:	1437670775
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ACHIEVE THERAPY LLC

Provider Business Mailing Address
First Line	:	2290 E PROSPECT RD STE 4
Second Line	:
City	:	FORT COLLINS
State	:	CO
Zip	:	80525-9768
Country	:	US
Telephone Number	:	970-305-4730
Fax Number	:	970-305-4730

Provider Business Practice Location Address
First Line	:	2290 E PROSPECT RD STE 4
Second Line	:
City	:	FORT COLLINS
State	:	CO
Zip	:	80525-9768
Country	:	US
Telephone Number	:	970-305-4730
Fax Number	:	970-305-4730

Authorized Official
Title or Position	:	OWNER/CLINICAL DIRECTOR
Name	:	BECKY SPENCE
Credential	:	M.S. CCC-SLP
Telephone Number	:	970-305-4730

Provider Enumeration Date	:	06/27/2017
Last Update Date	:	06/25/2020

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Directions to “ACHIEVE THERAPY LLC ” Practice Location

Language	Start Address	Practice Location

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