# SUNDANCE THERAPY, LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1033653670
- **Authorized official:** MR. JEFFREY P GALLOWAY OTR (OCCUPATIONAL THERAPIST/ OWNER)
- **Authorized official phone:** (601) 493-6968

## Contact information

- **Practice address:** 2088 WOODPECKER LN, ELIZABETH, CO 80107-8558
- **Practice address phone:** (601) 493-6968
- **Mailing address:** 2088 WOODPECKER LN, ELIZABETH, CO 80107-8558
- **Mailing address phone:** (601) 493-6968

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 224Z00000X | Occupational Therapy Assistant | OTA.0000647 | CO | — |
| 225XP0019X | Physical Rehabilitation Occupational Therapist | OT.0000937 | CO | Yes |

## Other

- **Enumeration date:** 12/16/2016
- **Last updated:** 11/15/2021