IndividualActive
Jesse Montgomery, COTA/L
NPI 1376007575 · Occupational Therapy Assistant · Murray, UT
Provider details
- NPI number
- 1376007575
- Entity type
- Individual
- Primary specialty
- Occupational Therapy AssistantRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- COTA/L
- Sex
- Male
- Sole proprietor
- Yes
- License
- 9852709-4202 (UT)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
5121 S Cottonwood St
Murray, UT 84107-5701
Phone: (801) 507-7000
Approximate (ZIP-level) locationGet directions
Mailing address
5 E 5900 S
Murray, UT 84107-7254
Registry dates
- Enumerated
- 2019-01-22
- Last updated
- 2019-01-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.