IndividualActive
Madison Kennedy, COTA
NPI 1922718790 · Occupational Therapy Assistant · American Fork, UT
Provider details
- NPI number
- 1922718790
- Entity type
- Individual
- Primary specialty
- Occupational Therapy AssistantRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- COTA
- Sex
- Female
- Sole proprietor
- Yes
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
- Occupational Therapy Assistant224Z00000X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
575 N 100 E
American Fork, UT 84003-1758
Phone: (801) 610-8400
Approximate (ZIP-level) locationGet directions
Mailing address
575 N 100 E
American Fork, UT 84003-1758
Registry dates
- Enumerated
- 2022-12-01
- Last updated
- 2022-12-01
- Certified
- 2022-12-01
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.