IndividualActive
Tiffanee Matheson, OTR/L
NPI 1194588749 · Pediatric Occupational Therapist · Salt Lake City, UT
Provider details
- NPI number
- 1194588749
- Entity type
- Individual
- Primary specialty
- Pediatric Occupational TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- OTR/L
- Sex
- Female
- Sole proprietor
- No
- License
- 13744731-4201 (UT)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
100 N Mario Capecchi Dr
Salt Lake City, UT 84113-1103
Phone: (801) 662-1000
Approximate (ZIP-level) locationGet directions
Mailing address
1353 E 3000 S
Salt Lake City, UT 84106-3443
Registry dates
- Enumerated
- 2024-02-05
- Last updated
- 2024-02-05
- Certified
- 2024-02-05
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.