Provider Demographics
NPI:1457035776
Name:TRAVETTO, ALLISON G (OTD)
Entity Type:Individual
Prefix:
First Name:ALLISON
Middle Name:G
Last Name:TRAVETTO
Suffix:
Gender:F
Credentials:OTD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1850 BASSETT ST APT 307
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80202-1049
Mailing Address - Country:US
Mailing Address - Phone:847-691-2990
Mailing Address - Fax:
Practice Address - Street 1:11211 E ARAPAHOE RD STE 118
Practice Address - Street 2:
Practice Address - City:CENTENNIAL
Practice Address - State:CO
Practice Address - Zip Code:80112-3851
Practice Address - Country:US
Practice Address - Phone:720-791-2881
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-06-15
Last Update Date:2023-06-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO493896225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist