Provider Demographics
NPI:1013233493
Name:LEGATSKI, LORIE (OT)
Entity Type:Individual
Prefix:
First Name:LORIE
Middle Name:
Last Name:LEGATSKI
Suffix:
Gender:F
Credentials:OT
Other - Prefix:
Other - First Name:LORIE
Other - Middle Name:
Other - Last Name:KEIL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:8600 PARK MEADOWS DR STE 200
Mailing Address - Street 2:
Mailing Address - City:LONETREE
Mailing Address - State:CO
Mailing Address - Zip Code:80124-2757
Mailing Address - Country:US
Mailing Address - Phone:303-649-2165
Mailing Address - Fax:303-649-2166
Practice Address - Street 1:8600 PARK MEADOWS DR STE 200
Practice Address - Street 2:
Practice Address - City:LONETREE
Practice Address - State:CO
Practice Address - Zip Code:80124-2757
Practice Address - Country:US
Practice Address - Phone:303-649-2165
Practice Address - Fax:303-649-2166
Is Sole Proprietor?:No
Enumeration Date:2010-04-11
Last Update Date:2010-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO2309225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist