Individual
MICHAELA KIERSCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2617 S 300 E, SOUTH SALT LAKE, UT 84115-3205
(312) 515-9461
Mailing address
2617 S 300 E, SOUTH SALT LAKE, UT 84115-3205
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
Other
Enumeration date
09/14/2022
Last updated
09/14/2022
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