# CREATIVE THERAPY SERVICES, LLC

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

## Provider details

- **NPI number:** 1588890875
- **Authorized official:** MRS. HOLLYE ANN KOZLOWSKI OTR/L (OWNER/MANAGER)
- **Authorized official phone:** (505) 891-3999

## Contact information

- **Practice address:** 2003 SOUTHERN BLVD SE, STE 133, RIO RANCHO, NM 87124-3751
- **Practice address phone:** (505) 891-3999
- **Practice address fax:** (505) 821-7671
- **Mailing address:** 2003 SOUTHERN BLVD SE, STE 133, RIO RANCHO, NM 87124-3751
- **Mailing address phone:** (505) 891-3999
- **Mailing address fax:** (505) 821-7671

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | 1795 | NM | Yes |

## Other

- **Enumeration date:** 06/01/2009
- **Last updated:** 01/15/2010