Individual
KAESEE BUMGARNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTD, OTR/L
Contact information
Practice address
620 WILCOX ST, CASTLE ROCK, CO 80104-1730
(303) 387-0100
Mailing address
20117 EDINBOROUGH CT, PARKER, CO 80138-7311
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
0009009
CO
Other
Enumeration date
08/19/2025
Last updated
08/19/2025
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