Individual
MR. KASEY DUANE MITCHELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OTR/L
Contact information
Practice address
540 ARAPEEN DR, SUITE 200, SALT LAKE CITY, UT 84108-1250
(801) 585-7448
Mailing address
520 WAKARA WAY, SALT LAKE CITY, UT 84108-1213
(801) 585-7448
(801) 585-1001
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
285409-4201
UT
Other
Enumeration date
07/27/2010
Last updated
11/03/2021
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