Provider Demographics
NPI:1023442894
Name:SAPPENFIELD, STACY (COTA)
Entity type:Individual
Prefix:
First Name:STACY
Middle Name:
Last Name:SAPPENFIELD
Suffix:
Gender:F
Credentials:COTA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 631374
Mailing Address - Street 2:
Mailing Address - City:HIGHLANDS RANCH
Mailing Address - State:CO
Mailing Address - Zip Code:80163-1374
Mailing Address - Country:US
Mailing Address - Phone:303-886-9921
Mailing Address - Fax:
Practice Address - Street 1:9340 COMMERCE CENTER ST
Practice Address - Street 2:
Practice Address - City:HIGHLANDS RANCH
Practice Address - State:CO
Practice Address - Zip Code:80129-1709
Practice Address - Country:US
Practice Address - Phone:303-886-9921
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-08-28
Last Update Date:2013-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapy Assistant