Provider Demographics
NPI:1750040036
Name:TARANGO, ASHLEIGH KINDELLE (OTR/L)
Entity Type:Individual
Prefix:
First Name:ASHLEIGH
Middle Name:KINDELLE
Last Name:TARANGO
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:
Other - First Name:ASHLEIGH
Other - Middle Name:KINDELLE
Other - Last Name:PUENTE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1740 S COLLEGE AVE
Mailing Address - Street 2:
Mailing Address - City:FORT COLLINS
Mailing Address - State:CO
Mailing Address - Zip Code:80525-1009
Mailing Address - Country:US
Mailing Address - Phone:970-407-9999
Mailing Address - Fax:
Practice Address - Street 1:1740 S COLLEGE AVE
Practice Address - Street 2:
Practice Address - City:FORT COLLINS
Practice Address - State:CO
Practice Address - Zip Code:80525-1009
Practice Address - Country:US
Practice Address - Phone:970-407-9999
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-12-14
Last Update Date:2021-12-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COOT.0006711225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist