Provider Demographics
NPI:1457962417
Name:KATEY BLEHM M.A. CCC-SLP
Entity Type:Organization
Organization Name:KATEY BLEHM M.A. CCC-SLP
Other - Org Name:COLORADO SPRINGS THERAPY CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER, PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ANNA
Authorized Official - Middle Name:KATE
Authorized Official - Last Name:BLEHM
Authorized Official - Suffix:
Authorized Official - Credentials:MA, CCC-SLP
Authorized Official - Phone:719-332-4689
Mailing Address - Street 1:6965 TUTT BLVD STE 100A
Mailing Address - Street 2:
Mailing Address - City:COLORADO SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80923-3597
Mailing Address - Country:US
Mailing Address - Phone:719-332-4689
Mailing Address - Fax:719-282-1449
Practice Address - Street 1:6965 TUTT BLVD STE 100A
Practice Address - Street 2:
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80923-3597
Practice Address - Country:US
Practice Address - Phone:719-332-4689
Practice Address - Fax:719-282-1449
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:KATEY BLEHM M.A., CCC-SLP
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2020-08-13
Last Update Date:2023-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Multi-Specialty
No225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Multi-Specialty
No225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Multi-Specialty
No225XH1200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistHandGroup - Multi-Specialty
No261QH0700XAmbulatory Health Care FacilitiesClinic/CenterHearing and SpeechGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO9000119005Medicaid