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Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

KELLY LEE SULLIVAN
NPI 1740104132
Recreation Therapist in Salt Lake City, UT

Active since August 07, 2026
2730 E 3300 S, SALT LAKE CITY, UT 84109(801) 487-0896 Get Directions Write a Review

NPPES record added: August 7, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Kelly Lee Sullivan NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KELLY LEE SULLIVAN (NPI 1740104132) is an individual recreation therapist in Salt Lake City, Utah, licensed in Utah (14302761-4003) and active in the NPI registry since August 2026.

NPPES Registry Identity

NPI1740104132
Entity TypeIndividualFemale
Primary Taxonomy225800000X
Provider Legal NameKELLY LEE SULLIVAN
Location Address2730 E 3300 SSalt Lake City, UT 84109-2819
Mailing Address2730 E 3300 SSalt Lake City, UT 84109-2819 · (801) 487-0896
Phone(801) 487-0896
Sole ProprietorNo
Enumeration DateAugust 7, 2026
NPPES CertifiedAugust 7, 2026
✔ NPI 1740104132 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRecreation TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225800000X
License✔ Licensed in UT · 14302761-4003
Definition
A recreation therapist uses recreational activities for intervention in some physical, social or emotional behavior to bring about a desired change in that behavior and promote the growth and development of the patient.
2730 E 3300 S, Salt Lake City, UT 84109
Open in Google Maps ↗

Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ZIONS MOUNTAIN VIEW HOME & ASSOC.
Skilled Nursing Facility
2730 E 3300 S
SALT LAKE CITY, UT 84109
Salt Lake County (801) 487-0896
SHYLA CASE
Occupational Therapy Assistant
2730 E 3300 S
SALT LAKE CITY, UT 84109
Salt Lake County (801) 487-0896
HENSEN P KEETCH PT, DPT
Physical Therapist
2730 E 3300 S
SALT LAKE CITY, UT 84109
Salt Lake County (801) 487-0896
RILEY PRESTON
Physical Therapy Assistant
2730 E 3300 S
SALT LAKE CITY, UT 84109
Salt Lake County (801) 487-0896
MARIA LOPEZ SUAREZ
Recreational Therapist Assistant
2730 E 3300 S
SALT LAKE CITY, UT 84109
Salt Lake County (801) 487-0896
AVALON CARE CENTER - CANYON RIM, LLC
Skilled Nursing Facility
2730 E 3300 S
SALT LAKE CITY, UT 84109
Salt Lake County (801) 487-0896
SARAH POULSEN CTRS
Recreation Therapist
2730 E 3300 S
SALT LAKE CITY, UT 84109
Salt Lake County (801) 487-0896
GUNNISON VALLEY HOSPITAL
Skilled Nursing Facility
2730 E 3300 S
SALT LAKE CITY, UT 84109
Salt Lake County (801) 487-0896

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 Kelly Sullivan's NPI number?

The NPI number for Kelly Sullivan is 1740104132. It was assigned to this individual provider in the NPPES registry on August 7, 2026.

Where is Kelly Sullivan located?

Kelly Sullivan practices at 2730 E 3300 S, Salt Lake City, UT 84109. The listed phone number is (801) 487-0896.

What is Kelly Sullivan's specialty?

The primary specialty registered for this NPI is Recreation Therapist with taxonomy code 225800000X.

When was this NPI record last updated?

The NPPES record for Kelly Sullivan was last updated on August 7, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 days 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.