Individual
MS. MICHELLE D WELLMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
3741 W 12600 S STE 200, RIVERTON, UT 84065-7215
(801) 285-3400
(801) 285-3401
Mailing address
572 S CROOKED POST WAY, SARATOGA SPRINGS, UT 84045-5449
(509) 851-3791
(801) 285-4301
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
OC00001051
WA
225X00000X
Occupational Therapist
Primary
OT61194912
WA
Other
Enumeration date
02/19/2008
Last updated
06/30/2022
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