Provider Demographics
NPI:1275368862
Name:KARI SHANKS HALL INC
Entity type:Organization
Organization Name:KARI SHANKS HALL INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:TYLER
Authorized Official - Middle Name:
Authorized Official - Last Name:KEETER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:303-748-0238
Mailing Address - Street 1:4891 INDEPENDENCE ST STE 150
Mailing Address - Street 2:
Mailing Address - City:WHEAT RIDGE
Mailing Address - State:CO
Mailing Address - Zip Code:80033-6792
Mailing Address - Country:US
Mailing Address - Phone:303-756-0280
Mailing Address - Fax:
Practice Address - Street 1:4891 INDEPENDENCE ST STE 150
Practice Address - Street 2:
Practice Address - City:WHEAT RIDGE
Practice Address - State:CO
Practice Address - Zip Code:80033-6792
Practice Address - Country:US
Practice Address - Phone:303-756-0280
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-09-04
Last Update Date:2024-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Multi-Specialty