NPI 1801440391 · live from the CMS NPI Registry
Nellie Bubb, OTR/L
Occupational Therapist in Riverton, UT. National Provider Identifier 1801440391, active.
NPI record
| NPI | 1801440391 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Occupational Therapist 225X00000X |
| Practice location | 3723 W 12600 S, Riverton, UT 84065 |
| Practice phone | 833-577-3422 |
| Mailing address | 9703 S Kalina Way #3-201, Sandy, UT 84092 |
| Enumerated | August 1, 2019 |
| Last updated | August 1, 2019 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Occupational Therapist primary | 225X00000X | 11318297-4201 (UT) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.