Individual
KELSI VIK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
50 N MEDICAL DR, SALT LAKE CITY, UT 84132-0001
(801) 213-7314
Mailing address
50 N MEDICAL DR # 1R73, SALT LAKE CITY, UT 84132-0001
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
104276564201
UT
Other
Enumeration date
10/31/2017
Last updated
11/23/2021
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