MEDICARE: VICKIE L HEALY OT

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	1131	CO

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1952382574
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	VICKIE L HEALY OT

Provider Business Mailing Address
First Line	:	2535 S DOWNING ST
Second Line	:	SUITE 580
City	:	DENVER
State	:	CO
Zip	:	80210-5847
Country	:	US
Telephone Number	:	303-777-2393
Fax Number	:	303-871-7067

Provider Business Practice Location Address
First Line	:	2535 S DOWNING ST
Second Line	:	SUITE 580
City	:	DENVER
State	:	CO
Zip	:	80210-5847
Country	:	US
Telephone Number	:	303-777-2393
Fax Number	:	303-871-7067

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

Provider Enumeration Date	:	11/10/2005
Last Update Date	:	12/06/2010

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Directions to “ VICKIE L HEALY OT” Practice Location

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