Anita Beales

Individual provider Active NPI Occupational Therapist · Nephi, UT

NPI 1407207368 · NPPES record last updated Jun 22, 2016

Key facts

NPI
1407207368
Entity type
Individual (NPI type 1)
Primary specialty
Occupational Therapist 225X00000X
License
9811496-4201 (UT)
Practice address
48 W 1500 N
Nephi, UT 84648-8900
Phone
(435) 623-3045
NPI assigned
Jun 22, 2016
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
9811496-4201UTMDOccupational Therapist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 9811496-4201 UT Yes

Addresses

Primary practice location

48 W 1500 N
Nephi, UT 84648-8900

Mailing address

2550 W 7460 S
West Jordan, UT 84084-3163
Phone (801) 739-5131

Other providers in Nephi, UT

All providers in Nephi, UT · Occupational Therapist in Utah

Sources for this page

Verify at the official NPI Registry.