Provider Demographics
NPI:1871360701
Name:HAMMELRATH, CARLY
Entity type:Individual
Prefix:
First Name:CARLY
Middle Name:
Last Name:HAMMELRATH
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:CARLY
Other - Middle Name:
Other - Last Name:AYERS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2795 N SPEER BLVD APT A-328
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80211-4270
Mailing Address - Country:US
Mailing Address - Phone:513-388-1824
Mailing Address - Fax:
Practice Address - Street 1:9700 E POWERS AVE
Practice Address - Street 2:
Practice Address - City:GREENWOOD VILLAGE
Practice Address - State:CO
Practice Address - Zip Code:80111-3545
Practice Address - Country:US
Practice Address - Phone:303-596-9074
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-12-11
Last Update Date:2025-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language Pathologist