Provider Demographics
NPI:1619103843
Name:COYHIS, SUMMER FAYE (OTR)
Entity Type:Individual
Prefix:
First Name:SUMMER
Middle Name:FAYE
Last Name:COYHIS
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 1:5720 ELDORA DR
Mailing Address - Street 2:
Mailing Address - City:COLORADO SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80918-1708
Mailing Address - Country:US
Mailing Address - Phone:719-271-0441
Mailing Address - Fax:719-598-7612
Practice Address - Street 1:5720 ELDORA DR
Practice Address - Street 2:
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80918-1708
Practice Address - Country:US
Practice Address - Phone:719-271-0441
Practice Address - Fax:719-598-7612
Is Sole Proprietor?:Yes
Enumeration Date:2009-06-02
Last Update Date:2009-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COOT-2420225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist