Provider Demographics
NPI:1578138301
Name:MCPHERSON, CASEY LYNNE (OTR/L, MFP)
Entity Type:Individual
Prefix:MS
First Name:CASEY
Middle Name:LYNNE
Last Name:MCPHERSON
Suffix:
Gender:F
Credentials:OTR/L, MFP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6397 SNOWBERRY LN
Mailing Address - Street 2:
Mailing Address - City:NIWOT
Mailing Address - State:CO
Mailing Address - Zip Code:80503-7146
Mailing Address - Country:US
Mailing Address - Phone:303-880-6802
Mailing Address - Fax:
Practice Address - Street 1:6397 SNOWBERRY LN
Practice Address - Street 2:
Practice Address - City:NIWOT
Practice Address - State:CO
Practice Address - Zip Code:80503-7146
Practice Address - Country:US
Practice Address - Phone:303-880-6802
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-05-24
Last Update Date:2021-05-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO0006489225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist