Organization
NORTHERN COLORADO THERAPY SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELLE UNDERHILL MA, CCC-SLP (OWNER)
(970) 685-0688
Entity
Organization
Contact information
Practice address
712B WHALERS WAY, SUITE B200, FORT COLLINS, CO 80525
(970) 658-0688
(970) 225-8113
Mailing address
712B WHALERS WAY, SUITE B200, FORT COLLINS, CO 80525
(970) 658-0688
(970) 225-8113
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
0577
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1497097810
NPI INDIVIDUAL
CO
Enumeration date
05/01/2015
Last updated
07/27/2021
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