Provider Demographics
NPI:1699004846
Name:GAYLORD, NANCY A (OTR,CHT)
Entity Type:Individual
Prefix:
First Name:NANCY
Middle Name:A
Last Name:GAYLORD
Suffix:
Gender:F
Credentials:OTR,CHT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3920 N UNION BLVD
Mailing Address - Street 2:STE 330
Mailing Address - City:COLORADO SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80907-4900
Mailing Address - Country:US
Mailing Address - Phone:719-570-7272
Mailing Address - Fax:719-570-9030
Practice Address - Street 1:3920 N UNION BLVD
Practice Address - Street 2:STE 330
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80907-4900
Practice Address - Country:US
Practice Address - Phone:719-570-7272
Practice Address - Fax:719-570-9030
Is Sole Proprietor?:No
Enumeration Date:2009-12-17
Last Update Date:2010-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO917225XH1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XH1200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistHand