# KIMBERLY M ROSS

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1174524862
- **Gender:** F
- **Credential:** OTR L,CHT

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225X00000X | Occupational Therapist | 375157-4201 | UT | Yes |
| 225XH1200X | Hand Occupational Therapist | 375157-4201 | UT | — |

## Other

- **Enumeration date:** 08/03/2005
- **Last updated:** 12/30/2025

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 1108540001 | CIGNA DMERC | UT |
| 01 | — | 5417 | DMBA | UT |
| 01 | — | 6826064002 | CIGNA | UT |
| 01 | — | 68950 | PEHP | UT |
| 01 | — | 870388269BR1 | EDUCATORS MUTUAL | UT |
| 01 | — | 99375157403001 | BLUE CROSS BLUE SHIELD | UT |
| 01 | — | P00183940 | RAILROAD MEDICARE | UT |