Lacy Petersen in Salt Lake City - Occupational Therapist
Lacy Petersen - NPI 1669634465
Lacy Petersen is a Occupational Therapist in Salt Lake City, Utah. Lacy Petersen practices all healthcare services and medical treatments related to Occupational Therapist. The NPI Number for Lacy Petersen is 1669634465. The last update date is 2008-07-02.
Lacy Petersen's current location address is Po Box 711185, Salt Lake City, Utah. You can contact this provider via phone number 8019423311 and fax number 8014955303. The mailing address for Lacy Petersen is Po Box 711185, Salt Lake City, Utah. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Lacy Petersen |
|---|---|
| Address | Po Box 711185, Salt Lake City, Utah |
| Phone Number | 8019423311 |
| Fax Number | 8014955303 |
| Sole Proprietor | Y |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1669634465 |
|---|---|
| Provider Enumeration Date | 2008-07-02 |
| Last Updated Date | 2008-07-02 |
Provider Mailing Address Detail
| Address | Po Box 711185 |
|---|---|
| City | Salt Lake City |
| State | Utah (UT) |
| Post Code | 841711185 |
| Phone Number | 8019423311 |
| Fax Number | 8014955303 |
Provider's Primary Taxonomy Detail
| Speciality | Occupational Therapist |
|---|---|
| Taxonomy | 225X00000X |
| Licence No | 3646 |
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Definition: An occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the World Federat |
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What is the unique 10-digit identifier code issued to Lacy Petersen by the Centers for Medicare & Medicaid Services?
The Lacy Petersen has been assigned the NPI (National Provider Identifier) 1669634465 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please provide the complete physical location address of Lacy Petersen?
The Lacy Petersen is physically situated at Po Box 711185, in the city of Salt Lake City, state of UT, with the postal code 841711185.
What is the area of specialization for Lacy Petersen, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Lacy Petersen is Occupational Therapist, and the corresponding taxonomy code that categorizes this area of expertise is 225X00000X.
On what date did the Lacy Petersen receive the assignment of its 1669634465 from the Centers for Medicare & Medicaid Services?
The Lacy Petersen was issued its 1669634465 by the Centers for Medicare & Medicaid Services on 2008-07-02.
As of what date were the details related to Lacy Petersen most recently updated or revised?
The information pertaining to Lacy Petersen, including its address, specialty, and other relevant details, was last updated or revised on 2008-07-02.