Individual
BRAXTEN TAUILIILI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
1400 N 500 E, LOGAN, UT 84341-2455
(435) 716-6440
Mailing address
PO BOX 27128, SALT LAKE CITY, UT 84127-0128
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
12609059-4201
UT
Other
Enumeration date
04/19/2022
Last updated
11/17/2025
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