NPI 1033691209 · live from the CMS NPI Registry
Stacie Farr Bryant, OTR/L
Occupational Therapist in Eagle Mountain, UT. National Provider Identifier 1033691209, active.
NPI record
| NPI | 1033691209 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Occupational Therapist 225X00000X |
| Practice location | 3302 E Gibraltar Ave, Eagle Mountain, UT 84005 |
| Practice phone | 801-971-7987 |
| Enumerated | September 4, 2018 |
| Last updated | June 30, 2021 |
| Sole proprietor | No |
| Other names | Stacie Farr |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Occupational Therapist primary | 225X00000X | 11701688-4201 (UT) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.