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Individual

KIMBERLY M ROSS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OTR L,CHT

Contact information

Practice address
6340 S 3000 E STE 200, COTTONWOOD HEIGHTS, UT 84121-3552
(801) 743-4500
(435) 655-2388
Mailing address
6340 S 3000 E STE 200, COTTONWOOD HEIGHTS, UT 84121-3552
(801) 743-4500
(435) 655-2388

Taxonomy

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

Other

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
Enumeration date
08/03/2005
Last updated
12/30/2025
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