Provider Demographics
NPI:1710139332
Name:CROWLEY, KAY ALISON (OTR, CACIII)
Entity Type:Individual
Prefix:
First Name:KAY
Middle Name:ALISON
Last Name:CROWLEY
Suffix:
Gender:F
Credentials:OTR, CACIII
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:777 BANNOCK ST
Mailing Address - Street 2:MC 0490
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80204-4507
Mailing Address - Country:US
Mailing Address - Phone:303-436-7385
Mailing Address - Fax:303-436-6640
Practice Address - Street 1:777 BANNOCK ST
Practice Address - Street 2:MC 0490
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80204-4507
Practice Address - Country:US
Practice Address - Phone:303-436-7385
Practice Address - Fax:303-436-6640
Is Sole Proprietor?:No
Enumeration Date:2008-10-14
Last Update Date:2008-10-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO5350101YA0400X
CO984828225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
No225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist