Provider Demographics
NPI:1073062816
Name:REED KUYPER, PATRICIA ERIN (OTR)
Entity Type:Individual
Prefix:
First Name:PATRICIA
Middle Name:ERIN
Last Name:REED KUYPER
Suffix:
Gender:F
Credentials:OTR
Other - Prefix:
Other - First Name:PATRICIA
Other - Middle Name:ERIN
Other - Last Name:KUYPER
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:OTR
Mailing Address - Street 1:2315 E HARMONY RD STE 170
Mailing Address - Street 2:
Mailing Address - City:FORT COLLINS
Mailing Address - State:CO
Mailing Address - Zip Code:80528-8620
Mailing Address - Country:US
Mailing Address - Phone:970-495-8450
Mailing Address - Fax:
Practice Address - Street 1:2315 E HARMONY RD STE 170
Practice Address - Street 2:
Practice Address - City:FORT COLLINS
Practice Address - State:CO
Practice Address - Zip Code:80528-8620
Practice Address - Country:US
Practice Address - Phone:970-495-8450
Practice Address - Fax:970-297-6599
Is Sole Proprietor?:Yes
Enumeration Date:2016-09-21
Last Update Date:2021-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO775225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist