Organization
A MILE HIGH SPEECH THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CODY DAVID SMITH (OFFICE MANAGER)
(720) 219-7249
Entity
Organization
Contact information
Practice address
15611 E CASPIAN CIR APT 302, AURORA, CO 80013-6306
(720) 480-4977
Mailing address
15611 E CASPIAN CIR APT 302, AURORA, CO 80013-6306
(720) 480-4977
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
17679
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1164766317
—
CO
Enumeration date
03/13/2018
Last updated
12/27/2021
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