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NPI Code Detail

MEDICARE: AMANDA KUTE OTD

MEDICARE: AMANDA KUTE OTD
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
1225XP0200XPediatric Occupational Therapist2588CO
2174400000XSpecialist0119003764VA
3224ZF0002XFeeding, Eating & Swallowing Occupational Therapy Assistant
4225X00000XOccupational TherapistOT.0002588CO

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
10119003764OTHERVAOT
22588OTHERCOOT STATE LICENSE
3MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1467665059
Entity Type Code : Individual
Provider Name (Legal Business Name) : AMANDA KUTE OTD
Provider Business Mailing Address
First Line : 155 PANTHER WAY
Second Line :
City : WOODLAND PARK
State : CO
Zip : 80863-3165
Country : US
Telephone Number : 719-452-1618
Fax Number :
Provider Business Practice Location Address
First Line : 155 PANTHER WAY
Second Line :
City : WOODLAND PARK
State : CO
Zip : 80863-3165
Country : US
Telephone Number : 719-452-1618
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/08/2007
Last Update Date : 06/05/2024

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