Provider Demographics
NPI:1861445769
Name:ALDEN, CHRISTY ALEXIS (OTR)
Entity Type:Individual
Prefix:
First Name:CHRISTY
Middle Name:ALEXIS
Last Name:ALDEN
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 1:2417 MATHEWS ST
Mailing Address - Street 2:
Mailing Address - City:FT COLLINS
Mailing Address - State:CO
Mailing Address - Zip Code:80525-1706
Mailing Address - Country:US
Mailing Address - Phone:970-493-0058
Mailing Address - Fax:
Practice Address - Street 1:2417 MATHEWS ST
Practice Address - Street 2:
Practice Address - City:FT COLLINS
Practice Address - State:CO
Practice Address - Zip Code:80525-1706
Practice Address - Country:US
Practice Address - Phone:970-493-0058
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-05-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO08578842Medicaid