Provider Demographics
NPI:1013172998
Name:HENDLER, JAMSON (NHA, COTA)
Entity type:Individual
Prefix:
First Name:JAMSON
Middle Name:
Last Name:HENDLER
Suffix:
Gender:M
Credentials:NHA, COTA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:19061 W 60TH DR
Mailing Address - Street 2:
Mailing Address - City:GOLDEN
Mailing Address - State:CO
Mailing Address - Zip Code:80403-2127
Mailing Address - Country:US
Mailing Address - Phone:720-413-5644
Mailing Address - Fax:
Practice Address - Street 1:19061 W 60TH DR
Practice Address - Street 2:
Practice Address - City:GOLDEN
Practice Address - State:CO
Practice Address - Zip Code:80403-2127
Practice Address - Country:US
Practice Address - Phone:720-413-5644
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-07-21
Last Update Date:2024-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ4164224Z00000X
CONHA.0002998376G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapy Assistant
No376G00000XNursing Service Related ProvidersNursing Home Administrator