# DIVISION OF OCCUPATIONAL THERAPY UNIVERSITY OF UTAH

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Life Skills Clinic
- **Organization subpart:** No

## Provider details

- **NPI number:** 1700186699
- **Authorized official:** MR. KASEY DUANE MITCHELL MOT, OTR/L (CLINIC MANAGER)
- **Authorized official phone:** (801) 585-7448

## Contact information

- **Practice address:** 540 ARAPEEN DR, SUITE 200, SALT LAKE CITY, UT 84108-1250
- **Practice address phone:** (801) 585-7448
- **Mailing address:** 520 WAKARA WAY, SALT LAKE CITY, UT 84108-1213
- **Mailing address phone:** (801) 585-9135
- **Mailing address fax:** (801) 585-1001

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225X00000X | Occupational Therapist | — | NULL | Yes |
| 225X00000X | Occupational Therapist | — | — | Yes |

## Other

- **Enumeration date:** 10/26/2010
- **Last updated:** 11/01/2010