NPI 1659863504 · live from the CMS NPI Registry
Jace Edward Anderson, OTR/L
Occupational Therapist in Gunnison, UT. National Provider Identifier 1659863504, active.
NPI record
| NPI | 1659863504 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Occupational Therapist 225X00000X |
| Practice location | 13 E. Center Street, Gunnison, UT 84634 |
| Practice phone | 435-528-7575 |
| Mailing address | Po Box 396, Gunnison, UT 84634 |
| Enumerated | June 5, 2018 |
| Last updated | January 24, 2023 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Occupational Therapist | 225X00000X | — |
| Occupational Therapist primary | 225X00000X | — (UT) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.