IndividualActive
Amanda Nellemann, OTR/L
NPI 1134457831 · Gerontology Occupational Therapist · Salt Lake City, UT
Provider details
- NPI number
- 1134457831
- Entity type
- Individual
- Primary specialty
- Gerontology Occupational TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- OTR/L
- Sex
- Female
- Sole proprietor
- No
- License
- OT 13076 (FL)
Mailing address
8963 Daybreaker Dr
Park City, UT 84098-5819
Registry dates
- Enumerated
- 2009-11-18
- Last updated
- 2021-11-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.