| Legendary Pediatric Therapy | |
|
12453 S 265 W Ste B, Draper, UT 84020-5420 | |
| (801) 443-7775 | |
| (801) 447-0107 |
| Full Name | Legendary Pediatric Therapy |
|---|---|
| Type | Facility |
| Speciality | Occupational Therapist |
| Location | 12453 S 265 W Ste B, Draper, Utah |
| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568869899 | NPI | - | NPPES |
| Mailing Address | Practice Location Address |
|---|---|
| Legendary Pediatric Therapy 12453 S 265 W Ste B, Draper, UT 84020-5420 Ph: (801) 443-7775 | Legendary Pediatric Therapy 12453 S 265 W Ste B, Draper, UT 84020-5420 Ph: (801) 443-7775 |
Jeannise Marie Nichols, OT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 2021 E Village Green Cir Ste C, Draper, UT 84020 Phone: 801-440-5592 | |
Kaylyn Ellis, MOTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 12453 S 265 W Ste B, Draper, UT 84020 Phone: 801-443-7775 Fax: 801-447-0107 | |
Kari Armstrong, MOTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 12453 S 265 W Ste B, Draper, UT 84020 Phone: 801-443-7775 Fax: 801-447-0107 | |
Mariah Bonet Leroux, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 12453 S 265 W Ste B, Draper, UT 84020 Phone: 801-443-7775 Fax: 801-447-0107 | |
Whitney Louder Hunter, PA-C Occupational Therapist Medicare: May Accept Medicare Assignments Practice Location: 286 E 12200 S, Draper, UT 84020 Phone: 801-823-4175 | |
Kassidy Lien Ha, MOTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 12453 S 265 W Ste B, Draper, UT 84020 Phone: 801-443-7775 Fax: 801-447-0107 |