Provider Demographics
NPI:1316253792
Name:HUMES, ANNA CLIFTON (MOT, OTR)
Entity type:Individual
Prefix:
First Name:ANNA
Middle Name:CLIFTON
Last Name:HUMES
Suffix:
Gender:F
Credentials:MOT, OTR
Other - Prefix:
Other - First Name:ANNA
Other - Middle Name:M
Other - Last Name:CLIFTON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MOT, OTR/L
Mailing Address - Street 1:6851 S HOLLY CIR
Mailing Address - Street 2:SUITE 140
Mailing Address - City:CENTENNIAL
Mailing Address - State:CO
Mailing Address - Zip Code:80112-1019
Mailing Address - Country:US
Mailing Address - Phone:720-542-8737
Mailing Address - Fax:720-242-8085
Practice Address - Street 1:6851 S HOLLY CIR
Practice Address - Street 2:SUITE 140
Practice Address - City:CENTENNIAL
Practice Address - State:CO
Practice Address - Zip Code:80112-1019
Practice Address - Country:US
Practice Address - Phone:720-542-8737
Practice Address - Fax:720-242-8085
Is Sole Proprietor?:No
Enumeration Date:2010-08-24
Last Update Date:2013-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL056009111225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist