Individual
RYAN B ANDERTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MOTR/L
Contact information
Practice address
1400 N 500 E, LOGAN, UT 84341-2455
(435) 716-6440
Mailing address
PO BOX 30180, SALT LAKE CITY, UT 84130-0180
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5685969-4201
UT
225XG0600X
Gerontology Occupational Therapist
5685969-4201
UT
225XP0019X
Physical Rehabilitation Occupational Therapist
5685969-4201
UT
225XP0200X
Pediatric Occupational Therapist
5685969-4201
UT
Other
Enumeration date
07/22/2025
Last updated
01/13/2026
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