Provider Demographics
NPI:1073701678
Name:HAND THERAPY OF COLORADO, LLC
Entity Type:Organization
Organization Name:HAND THERAPY OF COLORADO, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DOCTOR OF OCCUPATIONAL THERAPY
Authorized Official - Prefix:DR
Authorized Official - First Name:SUSAN
Authorized Official - Middle Name:
Authorized Official - Last Name:BETZ
Authorized Official - Suffix:
Authorized Official - Credentials:OTD, OTR, CHT
Authorized Official - Phone:303-808-7686
Mailing Address - Street 1:3333 S BANNOCK ST
Mailing Address - Street 2:SUITE 770
Mailing Address - City:ENGLEWOOD
Mailing Address - State:CO
Mailing Address - Zip Code:80110-2432
Mailing Address - Country:US
Mailing Address - Phone:303-808-7686
Mailing Address - Fax:303-762-9785
Practice Address - Street 1:3333 S BANNOCK ST
Practice Address - Street 2:SUITE 770
Practice Address - City:ENGLEWOOD
Practice Address - State:CO
Practice Address - Zip Code:80110-2432
Practice Address - Country:US
Practice Address - Phone:303-808-7686
Practice Address - Fax:303-762-9785
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-10-09
Last Update Date:2015-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized Equipment
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO462188Medicare PIN
CO6156180001Medicare NSC