Provider Demographics
NPI:1245929751
Name:LEFILS-SHAW, ERIN K (AA)
Entity type:Individual
Prefix:
First Name:ERIN
Middle Name:K
Last Name:LEFILS-SHAW
Suffix:
Gender:F
Credentials:AA
Other - Prefix:
Other - First Name:ERYNN
Other - Middle Name:K
Other - Last Name:LEFILS-SHAW
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:BA
Mailing Address - Street 1:7438 SINGING HILLS CT
Mailing Address - Street 2:
Mailing Address - City:BOULDER
Mailing Address - State:CO
Mailing Address - Zip Code:80301-3765
Mailing Address - Country:US
Mailing Address - Phone:303-921-4633
Mailing Address - Fax:
Practice Address - Street 1:7438 SINGING HILLS CT
Practice Address - Street 2:
Practice Address - City:BOULDER
Practice Address - State:CO
Practice Address - Zip Code:80301-3765
Practice Address - Country:US
Practice Address - Phone:303-921-4633
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-05-02
Last Update Date:2023-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COOTA0001669224Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapy Assistant