# PLAY FOR LIFE THERAPY LLC

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

## Provider details

- **NPI number:** 1851978340
- **Authorized official:** STACI HARRELL MOTR/L (OCCUPATIONAL THERAPIST)
- **Authorized official phone:** (662) 832-8017

## Contact information

- **Practice address:** 400 W MIDLAND AVE, WOODLAND PARK, CO 80863-3196
- **Practice address phone:** (662) 832-8017
- **Mailing address:** 56 ASPEN CIR, DIVIDE, CO 80814-9611
- **Mailing address phone:** (662) 832-8017

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2081P0010X | Pediatric Rehabilitation Medicine Physician | — | NULL | Yes |
| 2081P0010X | Pediatric Rehabilitation Medicine Physician | — | — | Yes |
| 225100000X | Physical Therapist | — | NULL | — |
| 225100000X | Physical Therapist | — | — | — |
| 225X00000X | Occupational Therapist | — | NULL | — |
| 225X00000X | Occupational Therapist | — | — | — |

## Other

- **Enumeration date:** 03/29/2021
- **Last updated:** 03/17/2025