Provider Demographics
NPI:1780450213
Name:LUERKENS, MAKAYLA (OTR/L)
Entity type:Individual
Prefix:
First Name:MAKAYLA
Middle Name:
Last Name:LUERKENS
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:
Other - First Name:MAKAYLA
Other - Middle Name:
Other - Last Name:FARNSWORTH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:9611 W 56TH PL
Mailing Address - Street 2:
Mailing Address - City:ARVADA
Mailing Address - State:CO
Mailing Address - Zip Code:80002-2109
Mailing Address - Country:US
Mailing Address - Phone:563-370-5865
Mailing Address - Fax:
Practice Address - Street 1:7100 W 13TH AVE
Practice Address - Street 2:
Practice Address - City:LAKEWOOD
Practice Address - State:CO
Practice Address - Zip Code:80214-4700
Practice Address - Country:US
Practice Address - Phone:303-954-4089
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-11-27
Last Update Date:2023-11-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COOT.0007998225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist