Provider Demographics
NPI:1356555106
Name:KARI SHANKS HALL
Entity type:Organization
Organization Name:KARI SHANKS HALL
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:KARI
Authorized Official - Middle Name:
Authorized Official - Last Name:SHANKS HALL
Authorized Official - Suffix:
Authorized Official - Credentials:OT
Authorized Official - Phone:303-756-0280
Mailing Address - Street 1:7935 E PRENTICE AVE
Mailing Address - Street 2:SUITE 104
Mailing Address - City:GREENWOOD VILLAGE
Mailing Address - State:CO
Mailing Address - Zip Code:80111-2708
Mailing Address - Country:US
Mailing Address - Phone:303-756-0280
Mailing Address - Fax:303-756-6059
Practice Address - Street 1:7935 E PRENTICE AVE
Practice Address - Street 2:SUITE 104
Practice Address - City:GREENWOOD VILLAGE
Practice Address - State:CO
Practice Address - Zip Code:80111-2708
Practice Address - Country:US
Practice Address - Phone:303-756-0280
Practice Address - Fax:303-756-6059
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-10
Last Update Date:2016-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Multi-Specialty
No225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Multi-Specialty