Individual
KRYSTLE M MITCHELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
45 E STATE ST, FARMINGTON, UT 84025-2344
(801) 879-8826
Mailing address
3729 S GREEN FARM WAY, WEST HAVEN, UT 84401-1259
(801) 879-8826
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
10865234-4201
UT
225XP0019X
Physical Rehabilitation Occupational Therapist
10865234-4201
UT
225XP0200X
Pediatric Occupational Therapist
10865234-4201
UT
Other
Enumeration date
01/17/2023
Last updated
01/17/2023
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