Individual
KIMBERLY MISNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
2575 W PINE MEADOW PL, TAYLORSVILLE, UT 84129-1557
(801) 809-1206
Mailing address
2575 W PINE MEADOW PL, TAYLORSVILLE, UT 84129-1557
(801) 809-1206
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
6563197-4202
UT
Other
Enumeration date
12/01/2022
Last updated
05/21/2025
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