Individual
MIKELLE ATKINSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
1034 N 500 W, PROVO, UT 84604-3337
(801) 357-7850
Mailing address
14375 S LAPIS DR, DRAPER, UT 84020-5175
(435) 862-7069
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
10974292-4201
UT
Other
Enumeration date
09/07/2023
Last updated
09/07/2023
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