Provider Demographics
NPI:1467211938
Name:MILLS, MINDY JILL (OTR/L)
Entity Type:Individual
Prefix:MRS
First Name:MINDY
Middle Name:JILL
Last Name:MILLS
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:
Other - First Name:MINDY
Other - Middle Name:JILL
Other - Last Name:FRIEHAUF
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:OTR
Mailing Address - Street 1:800 S TAFT AVE
Mailing Address - Street 2:
Mailing Address - City:LOVELAND
Mailing Address - State:CO
Mailing Address - Zip Code:80537-6347
Mailing Address - Country:US
Mailing Address - Phone:970-613-5000
Mailing Address - Fax:
Practice Address - Street 1:800 S TAFT AVE
Practice Address - Street 2:
Practice Address - City:LOVELAND
Practice Address - State:CO
Practice Address - Zip Code:80537-6347
Practice Address - Country:US
Practice Address - Phone:970-613-5000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-03-18
Last Update Date:2024-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO539225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist