Kimberly M Ross
Occupational Therapist - Hand
590 S Wakara Way
Salt Lake City
, Utah 84108-1200
Kimberly M Ross
Occupational Therapist - Hand
590 S Wakara Way
Salt Lake City
, Utah 84108-1200
(801) 581-4110
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About
Features
Specialties
- Occupational Therapist - Hand
Languages spoken
- English
Location
First Address
- Kimberly M Ross
- 590 S Wakara Way
- Salt Lake City, UT
- Zip : 84108-1200
- Fax : (801) 581-4110
- Phone : (801) 587-7001
Second Address
- Kimberly M Ross
- 590 S Wakara Way
- Salt Lake City, UT
- Zip : 84108-1200
- Fax : (801) 581-4110
- Phone : (801) 587-7001
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Where is Kimberly M Ross ’s practice located?
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Is Kimberly M Ross a sole practitioner?
Is Kimberly M Ross accepting new patients?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 225XH1200X | Occupational Therapist - Hand | 375157-4201 | UT |
National Provider Identifier
| NPI | 1174524862 |
|---|---|
| Provider Name | Kimberly M Ross |
| First Address | Salt Lake City, UT 84108-1200 |
| Second Address | Salt Lake City, UT 84108-1200 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 03/08/2005 |
| Last Update Date | 01/12/2021 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 1108540001 | CIGNA DMERC (01) | UT |
| 5417 | DMBA (01) | UT |
| 6826064002 | CIGNA (01) | UT |
| 68950 | PEHP (01) | UT |
| 870388269BR1 | EDUCATORS MUTUAL (01) | UT |
| 99375157403001 | BLUE CROSS BLUE SHIELD (01) | UT |
| P00183940 | RAILROAD MEDICARE (01) | UT |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.