Kellstrom, Cara Grady

Kellstrom, Cara Grady is an sole proprietor health care provider with primary practice located at 2801 Youngfield St. Suite 371, Golden CO 80401. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, which is considered as her primary health care specialty. Kellstrom, Cara Grady can be contacted via phone (303) 954-8878.

Contact Information

Primary practice address
2801 Youngfield St. Suite 371 Golden CO 80401
Phone: (303) 954-8878
Fax: (303) 362-0946
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist 225X00000X OT-486 Wyoming
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist 225X00000X 1342 Colorado

Profile Details

NPI number 1477506368
LBN Legal business name Kellstrom, Cara Grady
Credentials MS OTR
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 19th, 2006
Last updated Jan 19th, 2016 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1477506368 NPPES
Colorado MEDICAID 89902378

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