Provider Demographics
NPI:1386350759
Name:THE ART OF EATING, LLC
Entity type:Organization
Organization Name:THE ART OF EATING, LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER, OCCUPATIONAL THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:KAITLYN
Authorized Official - Middle Name:A
Authorized Official - Last Name:CAVANAUGH
Authorized Official - Suffix:
Authorized Official - Credentials:MS, OTR/L, CLC
Authorized Official - Phone:623-606-6599
Mailing Address - Street 1:19769 SUMMERSET LN
Mailing Address - Street 2:
Mailing Address - City:PARKER
Mailing Address - State:CO
Mailing Address - Zip Code:80138-8077
Mailing Address - Country:US
Mailing Address - Phone:720-620-1860
Mailing Address - Fax:720-550-4155
Practice Address - Street 1:19769 SUMMERSET LN
Practice Address - Street 2:
Practice Address - City:PARKER
Practice Address - State:CO
Practice Address - Zip Code:80138-8077
Practice Address - Country:US
Practice Address - Phone:623-606-6599
Practice Address - Fax:303-474-7383
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-01-27
Last Update Date:2024-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225XF0002XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistFeeding, Eating & SwallowingGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO9000165902Medicaid