IndividualActive
Kimberly Misner, COTA/L
NPI 1720798648 · Occupational Therapy Assistant · Taylorsville, UT
Provider details
- NPI number
- 1720798648
- Entity type
- Individual
- Primary specialty
- Occupational Therapy AssistantRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- COTA/L
- Sex
- Female
- Sole proprietor
- Yes
- License
- 6563197-4202 (UT)
Practice location
2575 W Pine Meadow Pl
Taylorsville, UT 84129-1557
Phone: (801) 809-1206
Mailing address
2575 W Pine Meadow Pl
Taylorsville, UT 84129-1557
Registry dates
- Enumerated
- 2022-12-01
- Last updated
- 2025-05-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.