Individual
ELLISON M KRUCKENBERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
401 S 400 E, BOUNTIFUL, UT 84010-4933
(801) 295-2361
Mailing address
9487 S WASATCH DOWNS CIR, SOUTH JORDAN, UT 84095-9289
(385) 226-9401
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
12931092-4202
UT
Other
Enumeration date
02/13/2019
Last updated
07/12/2022
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us