KACEY LEE SHIVELEY

RIVERTON, UT
NPI1790469419
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225XP0200X Occupational Therapist, Pediatrics
(Licence: UT  13446577-4201)
Enumeration Date2023-06-13
Last Update Date2024-10-31
Business Address
KACEY LEE SHIVELEY OTR/L
3741 W 12600 S STE 100
RIVERTON, UT 84065-7215
Phone number: 833-577-3422
Mailing Address
KACEY LEE SHIVELEY OTR/L
PO BOX 30180
SALT LAKE CITY, UT 84130-0180
Phone number:
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