Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
ELLISON M KRUCKENBERG, COTA/L
Active Sole ProprietorELLISON M KRUCKENBERG, COTA/L is a Occupational Therapy Assistant healthcare provider located in BOUNTIFUL, Utah. NPI 1386100402 is currently active in the NPPES registry. Verify at CMS.
Occupational Therapy Assistant · BOUNTIFUL, UT
Registration Details
- NPI Number
- 1386100402
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Feb 13, 2019 (7.7068021930099 yrs)
- Last Updated
- Jul 12, 2022
- License
-
12931092-4202 (UT)
- Sole Proprietor
- Yes
Practice Information
- Address
-
401 S 400 EBOUNTIFUL, UT, 840104933Browse UT providers · Browse ZIP 84010
- Phone
- 8012952361
- Primary Specialty
-
Occupational Therapy Assistant
224Z00000X
Other Occupational Therapy Assistant Providers in BOUNTIFUL, UT
| Name | Credential | NPI |
|---|---|---|
| KORDELL J HOWELL | COTA/L | 1891970174 |
| BART HAMATAKE | — | 1063912525 |
| KATHERINE KARREN | — | 1922508498 |
| KATILYN BOETTCHER | — | 1245731306 |
| KADE WHITTLE | — | 1649161704 |
| MARI SORBER | COTA | 1578455317 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.