Provider Demographics
NPI:1871649517
Name:UNIQUE PRINTS PEDIATRIC THERAPY SERVICES INC
Entity Type:Organization
Organization Name:UNIQUE PRINTS PEDIATRIC THERAPY SERVICES INC
Other - Org Name:COLORADO AUTISM
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:RYAN
Authorized Official - Middle Name:R
Authorized Official - Last Name:SHERMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:602-319-7324
Mailing Address - Street 1:21045 N 9TH PL STE 204
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85024-5635
Mailing Address - Country:US
Mailing Address - Phone:602-726-2300
Mailing Address - Fax:602-726-2322
Practice Address - Street 1:9830 W 59TH PL
Practice Address - Street 2:
Practice Address - City:ARVADA
Practice Address - State:CO
Practice Address - Zip Code:80004-5013
Practice Address - Country:US
Practice Address - Phone:303-773-1034
Practice Address - Fax:303-773-1977
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-26
Last Update Date:2022-02-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO084604225XP0200X
CO00021832235Z00000X
251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251E00000XAgenciesHome Health
No225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatricsGroup - Multi-Specialty
No235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Multi-Specialty