IndividualActive
Kyle Fairchild, MS OTR/L
NPI 1003303694 · Occupational Therapist · Salt Lake City, UT
Provider details
- NPI number
- 1003303694
- Entity type
- Individual
- Primary specialty
- Occupational TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- MS OTR/L
- Sex
- Male
- Sole proprietor
- No
- License
- 9379311-4201 (UT)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
451 E Bishop Federal Ln
Salt Lake City, UT 84115-2357
Phone: (801) 487-7557
Approximate (ZIP-level) locationGet directions
Mailing address
877 W 3600 S
Bountiful, UT 84010-8423
Registry dates
- Enumerated
- 2018-04-18
- Last updated
- 2018-04-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.