ELLISON M KRUCKENBERG COTA/L
NPI 1386100402
Occupational Therapy Assistant in Bountiful, UT
About Ellison M Kruckenberg Cota/l NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ELLISON M KRUCKENBERG COTA/L (NPI 1386100402) is an individual occupational therapy assistant in Bountiful, Utah, licensed in Utah (12931092-4202) and active in the NPI registry since February 2019.
NPPES Registry Identity
Specialties & Licenses
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
BOUNTIFUL, UT 84010
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Ellison Kruckenberg's NPI number?
The NPI number for Ellison Kruckenberg is 1386100402. It was assigned to this individual provider in the NPPES registry on February 13, 2019.
Where is Ellison Kruckenberg located?
Ellison Kruckenberg practices at 401 S 400 E, Bountiful, UT 84010. The listed phone number is (801) 295-2361.
What is Ellison Kruckenberg's specialty?
The primary specialty registered for this NPI is Occupational Therapy Assistant with taxonomy code 224Z00000X.
When was this NPI record last updated?
The NPPES record for Ellison Kruckenberg was last updated on July 12, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.