NPI 1417647439 · live from the CMS NPI Registry
Brenda Banks, OTR/L
Occupational Therapist in Layton, UT. National Provider Identifier 1417647439, active.
NPI record
| NPI | 1417647439 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Occupational Therapist 225X00000X |
| Practice location | 365 W 1550 N # N, Layton, UT 84041 |
| Practice phone | 801-618-7903 |
| Mailing address | 301 N Main St Trlr 234, Layton, UT 84041 |
| Enumerated | May 12, 2023 |
| Last updated | May 12, 2023 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Occupational Therapist primary | 225X00000X | 12575764-4201 (UT) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.