Provider Demographics
NPI:1255019154
Name:THOMPSON, TORRIE LEIGH (OTD, OTR/L)
Entity type:Individual
Prefix:
First Name:TORRIE
Middle Name:LEIGH
Last Name:THOMPSON
Suffix:
Gender:F
Credentials:OTD, OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:614 WYOMING AVE
Mailing Address - Street 2:
Mailing Address - City:STRATTON
Mailing Address - State:CO
Mailing Address - Zip Code:80836-1364
Mailing Address - Country:US
Mailing Address - Phone:719-350-0597
Mailing Address - Fax:
Practice Address - Street 1:3400 MILES RD
Practice Address - Street 2:
Practice Address - City:SACHSE
Practice Address - State:TX
Practice Address - Zip Code:75048-4619
Practice Address - Country:US
Practice Address - Phone:469-535-7250
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-07-10
Last Update Date:2023-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX123724225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist