| Big Valley Therapy Llc | |
|
4936 W Mimosa St Riverton UT 84096-6327 | |
| (408) 334-8642 | |
| Not Available |
| Full Name | Big Valley Therapy Llc |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 4936 W Mimosa St, Riverton, Utah |
| Authorized Official Name and Position | Joshua Kei Otani (MARRIAGE AND FAMILY THERAPIST) |
| Authorized Official Contact | 4083348642 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Big Valley Therapy Llc 4936 W Mimosa St Riverton UT 84096-6327 Ph: (408) 334-8642 | Big Valley Therapy Llc 4936 W Mimosa St Riverton UT 84096-6327 Ph: (408) 334-8642 |
| NPI Number | 1336012806 |
|---|---|
| Provider Enumeration Date | 09/29/2025 |
| Last Update Date | 09/29/2025 |
| Certification Date | 09/29/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336012806 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | (* (Not Available)) | Primary |
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