EMILY MCKIERNAN MS CTRS NPI 1629786512

NPI Information

  • NPI: 1629786512
  • Provider Name: EMILY MCKIERNAN, MS, CTRS
  • Classification: Recreation Therapist - 225800000X
  • Entity Type: Individual
  • Address: 2611 JUNIPER AVE
    BOULDER, CO
    ZIP 80304
  • Phone: (619) 241-5820

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NPI Details

Emily Mckiernan, MS, CTRS is a recreation therapist in Boulder, CO. The provider is a recreation therapist uses recreational activities for intervention in some physical, social or emotional behavior to bring about a desired change in that behavior and promote the growth and development of the patient. Emily Mckiernan, MS, CTRS NPI is 1629786512. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

2611 JUNIPER AVE
BOULDER, CO
ZIP 80304-454
Phone: (619) 241-5820

The enumeration date for this NPI number is 11/9/2022 and was last updated on 7/28/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1225800000XRecreation Therapist85135COLORADOYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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