IndividualActive
Kacey Shiveley, OTR/L
NPI 1790469419 · Pediatric Occupational Therapist · Riverton, UT
Provider details
- NPI number
- 1790469419
- Entity type
- Individual
- Primary specialty
- Pediatric Occupational TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- OTR/L
- Sex
- Female
- Sole proprietor
- No
- License
- 13446577-4201 (UT)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
3741 W 12600 S Ste 100
Riverton, UT 84065-7215
Phone: (833) 577-3422
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 30180
Salt Lake City, UT 84130-0180
Additional practice locations (1)
- 5284 S Commerce Dr Ste C214Murray, UT 84107-5568Phone: (801) 916-5685
Registry dates
- Enumerated
- 2023-06-13
- Last updated
- 2024-10-31
- Certified
- 2024-10-31
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.