Provider Demographics
NPI:1295144277
Name:COHILL, BECKI LYNNE (OTD OTR/L)
Entity type:Individual
Prefix:
First Name:BECKI
Middle Name:LYNNE
Last Name:COHILL
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 1:22771 COUNTY ROAD G
Mailing Address - Street 2:
Mailing Address - City:SUGAR CITY
Mailing Address - State:CO
Mailing Address - Zip Code:81076-9511
Mailing Address - Country:US
Mailing Address - Phone:719-671-1793
Mailing Address - Fax:
Practice Address - Street 1:22771 COUNTY ROAD G
Practice Address - Street 2:
Practice Address - City:SUGAR CITY
Practice Address - State:CO
Practice Address - Zip Code:81076-9511
Practice Address - Country:US
Practice Address - Phone:719-671-1793
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-08-04
Last Update Date:2019-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COOT.0002327225XP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatrics