Provider Demographics
NPI:1760800767
Name:MOTOR MILESTONES, INC.
Entity Type:Organization
Organization Name:MOTOR MILESTONES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OCCUPATIONAL THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:KAYLA
Authorized Official - Middle Name:
Authorized Official - Last Name:GARRIOTT
Authorized Official - Suffix:
Authorized Official - Credentials:MOT, OTR/L
Authorized Official - Phone:207-214-3017
Mailing Address - Street 1:1451 24TH ST
Mailing Address - Street 2:82
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80205-2104
Mailing Address - Country:US
Mailing Address - Phone:207-214-3017
Mailing Address - Fax:
Practice Address - Street 1:1500 W LITTLETON BLVD
Practice Address - Street 2:STE 127
Practice Address - City:LITTLETON
Practice Address - State:CO
Practice Address - Zip Code:80120-2156
Practice Address - Country:US
Practice Address - Phone:720-684-5877
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-04-07
Last Update Date:2014-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COOT.0003947252Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes252Y00000XAgenciesEarly Intervention Provider Agency