Provider Demographics
NPI:1316768518
Name:THE COLORADO HAND THERAPY CENTER, PLLC
Entity type:Organization
Organization Name:THE COLORADO HAND THERAPY CENTER, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:JEREMY
Authorized Official - Middle Name:
Authorized Official - Last Name:GEASLIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:707-718-3600
Mailing Address - Street 1:19230 LANGTREE CT
Mailing Address - Street 2:
Mailing Address - City:MONUMENT
Mailing Address - State:CO
Mailing Address - Zip Code:80132-2843
Mailing Address - Country:US
Mailing Address - Phone:707-718-3600
Mailing Address - Fax:
Practice Address - Street 1:19230 LANGTREE CT
Practice Address - Street 2:
Practice Address - City:MONUMENT
Practice Address - State:CO
Practice Address - Zip Code:80132-2843
Practice Address - Country:US
Practice Address - Phone:707-718-3600
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-10-21
Last Update Date:2024-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Single Specialty