| Achieve Therapy Llc | |
|
2290 E Prospect Rd Ste 4 Fort Collins CO 80525-9768 | |
| (970) 305-4730 | |
| (970) 305-4730 |
| Full Name | Achieve Therapy Llc |
|---|---|
| Speciality | Speech-Language Pathologist |
| Location | 2290 E Prospect Rd Ste 4, Fort Collins, Colorado |
| Authorized Official Name and Position | Becky Spence (OWNER/CLINICAL DIRECTOR) |
| Authorized Official Contact | 9703054730 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Achieve Therapy Llc 2290 E Prospect Rd Ste 4 Fort Collins CO 80525-9768 Ph: (970) 305-4730 | Achieve Therapy Llc 2290 E Prospect Rd Ste 4 Fort Collins CO 80525-9768 Ph: (970) 305-4730 |
| NPI Number | 1437670775 |
|---|---|
| Provider Enumeration Date | 06/27/2017 |
| Last Update Date | 06/25/2020 |
| Certification Date | 06/25/2020 |
| Medicare PECOS PAC ID | 3577812650 |
|---|---|
| Medicare Enrollment ID | O20180822003109 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437670775 | NPI | - | NPPES |
| Provider Name | Shawna Ranee Johnson |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1396235313 PECOS PAC ID: 4789935172 Enrollment ID: I20180925000516 |
| Provider Name | Kathryn Sk Smith |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1982041679 PECOS PAC ID: 4183047129 Enrollment ID: I20200708003645 |
| Provider Name | Callie Nichole Halstead |
|---|---|
| Provider Type | Practitioner - Qualified Speech Language Pathologist |
| Provider Identifiers | NPI Number: 1144848458 PECOS PAC ID: 9133543069 Enrollment ID: I20200723003095 |
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