Provider Demographics
NPI:1982263059
Name:NEUROHR, ELYSSA (OTR/L)
Entity Type:Individual
Prefix:
First Name:ELYSSA
Middle Name:
Last Name:NEUROHR
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1165 BLACK HAWK RD
Mailing Address - Street 2:
Mailing Address - City:EATON
Mailing Address - State:CO
Mailing Address - Zip Code:80615-9038
Mailing Address - Country:US
Mailing Address - Phone:970-302-9614
Mailing Address - Fax:
Practice Address - Street 1:1800 STROH PL
Practice Address - Street 2:
Practice Address - City:LONGMONT
Practice Address - State:CO
Practice Address - Zip Code:80501-3214
Practice Address - Country:US
Practice Address - Phone:303-776-6081
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-06-11
Last Update Date:2019-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist