Provider Demographics
NPI:1043698319
Name:SKAFIDAS, JULIE
Entity type:Individual
Prefix:
First Name:JULIE
Middle Name:
Last Name:SKAFIDAS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9197 W 6TH AVE STE 600
Mailing Address - Street 2:
Mailing Address - City:LAKEWOOD
Mailing Address - State:CO
Mailing Address - Zip Code:80215-5106
Mailing Address - Country:US
Mailing Address - Phone:720-640-8322
Mailing Address - Fax:
Practice Address - Street 1:9197 W 6TH AVE STE 600
Practice Address - Street 2:
Practice Address - City:LAKEWOOD
Practice Address - State:CO
Practice Address - Zip Code:80215-5106
Practice Address - Country:US
Practice Address - Phone:720-640-8322
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-05-07
Last Update Date:2024-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0119006628225X00000X
COOT.0004958225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist