Provider Demographics
NPI:1053438341
Name:WEST SIDE HAND THERAPY
Entity type:Organization
Organization Name:WEST SIDE HAND THERAPY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:KAREN
Authorized Official - Middle Name:
Authorized Official - Last Name:VALISH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:303-237-8899
Mailing Address - Street 1:PO BOX 1356
Mailing Address - Street 2:
Mailing Address - City:WHEAT RIDGE
Mailing Address - State:CO
Mailing Address - Zip Code:80034-1356
Mailing Address - Country:US
Mailing Address - Phone:303-237-8899
Mailing Address - Fax:303-202-1863
Practice Address - Street 1:1262 BERGEN PKWY
Practice Address - Street 2:SUITE E18 #4
Practice Address - City:EVERGREEN
Practice Address - State:CO
Practice Address - Zip Code:80439-9546
Practice Address - Country:US
Practice Address - Phone:303-237-8899
Practice Address - Fax:303-202-1863
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-23
Last Update Date:2023-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225XH1200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistHandGroup - Single Specialty
No224Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapy AssistantGroup - Single Specialty
No225XE1200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistErgonomicsGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO500598Medicare ID - Type Unspecified