Michelle Baus

Individual provider Active NPI Occupational Therapist · Salt Lake City, UT

NPI 1871999367 · NPPES record last updated Nov 10, 2014

Key facts

NPI
1871999367
Entity type
Individual (NPI type 1)
Primary specialty
Occupational Therapist 225X00000X
License
OT-1406 (HI)
Practice address
1952 E 7000 S
Salt Lake City, UT 84121-6877
Phone
(801) 942-3311
Fax
(801) 942-5955
NPI assigned
Nov 10, 2014
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
OT-1406HIMDOccupational Therapist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X OT-1406 HI Yes

Addresses

Primary practice location

1952 E 7000 S
Salt Lake City, UT 84121-6877

Mailing address

PO Box 711185
Salt Lake City, UT 84171-1185
Phone (801) 942-3311

Other providers in Salt Lake City, UT

All providers in Salt Lake City, UT · Occupational Therapist in Utah

Sources for this page

Verify at the official NPI Registry.