Provider Demographics
NPI:1922636901
Name:BAY, TANYA JEANNE (OTD, OTR, BCP, BCMH)
Entity Type:Individual
Prefix:DR
First Name:TANYA
Middle Name:JEANNE
Last Name:BAY
Suffix:
Gender:F
Credentials:OTD, OTR, BCP, BCMH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8425 S TIMBERLINE RD
Mailing Address - Street 2:
Mailing Address - City:FORT COLLINS
Mailing Address - State:CO
Mailing Address - Zip Code:80525-9392
Mailing Address - Country:US
Mailing Address - Phone:970-282-0088
Mailing Address - Fax:970-282-0088
Practice Address - Street 1:8425 S TIMBERLINE RD
Practice Address - Street 2:
Practice Address - City:FORT COLLINS
Practice Address - State:CO
Practice Address - Zip Code:80525-9392
Practice Address - Country:US
Practice Address - Phone:970-282-0088
Practice Address - Fax:970-282-0088
Is Sole Proprietor?:No
Enumeration Date:2020-03-27
Last Update Date:2020-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COOT.0001888225XP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatrics