Provider Demographics
NPI:1124893367
Name:LLOYD, SIERRA EMARIE (OTD)
Entity type:Individual
Prefix:
First Name:SIERRA
Middle Name:EMARIE
Last Name:LLOYD
Suffix:
Gender:F
Credentials:OTD
Other - Prefix:
Other - First Name:SIERRA
Other - Middle Name:EMARIE
Other - Last Name:BAILEY-PETERSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:OTD
Mailing Address - Street 1:701 S KALISPELL WAY
Mailing Address - Street 2:
Mailing Address - City:AURORA
Mailing Address - State:CO
Mailing Address - Zip Code:80017-2151
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1425 E 23RD AVE
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80205-5303
Practice Address - Country:US
Practice Address - Phone:720-989-8072
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-11-17
Last Update Date:2023-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO0006609225XP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatrics