IndividualActive
Mckenzie Willson, COTA/L
NPI 1790303295 · Occupational Therapy Assistant · Price, UT
Provider details
- NPI number
- 1790303295
- Entity type
- Individual
- Primary specialty
- Occupational Therapy AssistantRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- COTA/L
- Sex
- Female
- Sole proprietor
- No
- License
- 11822534-4202 (UT)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
300 N Hospital Dr
Price, UT 84501-4218
Phone: (435) 637-4800
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 243
Wellington, UT 84542-0243
Registry dates
- Enumerated
- 2020-07-10
- Last updated
- 2020-07-10
- Certified
- 2020-07-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.