Individual
KIMBERLY S. MILLS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, OTR
Contact information
Practice address
5809 STONEWATER DR, FORT COLLINS, CO 80528-7050
(970) 227-5652
Mailing address
5809 STONEWATER DR, FORT COLLINS, CO 80528-7050
(970) 227-5652
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
225XE0001X
Environmental Modification Occupational Therapist
—
—
225XF0002X
Feeding, Eating & Swallowing Occupational Therapist
—
—
225XG0600X
Gerontology Occupational Therapist
—
—
225XL0004X
Low Vision Occupational Therapist
—
—
225XN1300X
Neurorehabilitation Occupational Therapist
—
—
225XP0019X
Physical Rehabilitation Occupational Therapist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2145
STATE LICENSE NUMBERS
CO
01
—
OTR-732
STATE LICENSE NUMBERS
WY
Enumeration date
06/07/2009
Last updated
06/07/2009
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