Provider Demographics
NPI:1235467622
Name:BOODEY, ERIN NICOLE (OTR)
Entity Type:Individual
Prefix:
First Name:ERIN
Middle Name:NICOLE
Last Name:BOODEY
Suffix:
Gender:F
Credentials:OTR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:975 PLATTE RIVER BLVD
Mailing Address - Street 2:SUITE O
Mailing Address - City:BRIGHTON
Mailing Address - State:CO
Mailing Address - Zip Code:80601-4349
Mailing Address - Country:US
Mailing Address - Phone:303-659-8822
Mailing Address - Fax:303-659-7788
Practice Address - Street 1:975 PLATTE RIVER BLVD
Practice Address - Street 2:SUITE O
Practice Address - City:BRIGHTON
Practice Address - State:CO
Practice Address - Zip Code:80601-4349
Practice Address - Country:US
Practice Address - Phone:303-659-8822
Practice Address - Fax:303-659-7788
Is Sole Proprietor?:No
Enumeration Date:2009-11-24
Last Update Date:2012-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI4540-026225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist