IndividualActive
Alissa Bullard, MOT, OTR/L
NPI 1386178564 · Occupational Therapist · Salt Lake City, UT
Provider details
- NPI number
- 1386178564
- Entity type
- Individual
- Primary specialty
- Occupational TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- MOT, OTR/L
- Sex
- Female
- Sole proprietor
- No
- License
- 9428385-4201 (UT)
Practice location
50 N Medical Dr
1r73 Som
Salt Lake City, UT 84132-0001
Phone: (801) 213-7311
Mailing address
50 N Medical Dr
Salt Lake City, UT 84132-0001
Registry dates
- Enumerated
- 2017-04-14
- Last updated
- 2017-04-14
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.