IndividualActive
Casey Henderson, COTA
NPI 1063290930 · Occupational Therapy Assistant · Eagle Mountain, UT
Provider details
- NPI number
- 1063290930
- Entity type
- Individual
- Primary specialty
- Occupational Therapy AssistantRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- COTA
- Sex
- Female
- Sole proprietor
- No
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
18406 W White Quest Dr
Eagle Mountain, UT 84013-9701
Phone: (801) 335-4699
Approximate (ZIP-level) locationGet directions
Mailing address
925 W 2100 N
Lehi, UT 84043-2860
Registry dates
- Enumerated
- 2023-09-20
- Last updated
- 2023-09-20
- Certified
- 2023-09-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.