Individual
MCKENZIE PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
85 N MEDICAL DR, SALT LAKE CITY, UT 84112-1100
(801) 587-3422
Mailing address
9904 S ROSEBORO RD, SANDY, UT 84092-3873
(801) 232-1634
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
14271965-4201
UT
Other
Enumeration date
04/08/2026
Last updated
04/08/2026
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