Provider Demographics
NPI:1346253960
Name:VALISH, KAREN T (L/OTR, CHT)
Entity Type:Individual
Prefix:
First Name:KAREN
Middle Name:T
Last Name:VALISH
Suffix:
Gender:F
Credentials:L/OTR, CHT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1356
Mailing Address - Street 2:
Mailing Address - City:WHEAT RIDGE
Mailing Address - State:CO
Mailing Address - Zip Code:80034-1356
Mailing Address - Country:US
Mailing Address - Phone:303-237-8899
Mailing Address - Fax:303-202-1863
Practice Address - Street 1:1262 BERGEN PARKWAY
Practice Address - Street 2:SUITE E18 #4
Practice Address - City:EVERGREEN
Practice Address - State:CO
Practice Address - Zip Code:80439-9546
Practice Address - Country:US
Practice Address - Phone:303-237-8899
Practice Address - Fax:303-202-1863
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-14
Last Update Date:2023-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COAA386789225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO52225747Medicaid
CO21148OtherKAISER COMMERCIAL NUMBER
CO21148OtherKAISER COMMERCIAL NUMBER