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Contact Information

KRISTI ELLEFSEN, COTA
6807 PINE ROCK CIR
SALT LAKE CITY, UT84121-3405
 Phone: 801-259-0732
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Occupational Therapy Assistant

224Z00000X
Indicates primary specialty

NPI Profile & details for KRISTI ELLEFSEN · (Female)

NPI # 1457502965
Status Active
Credentials COTA (Certified Occupational Therapy Assistant)
Entity Individual
Enumeration date 10/02/2008
Last updated 10/02/2008 - About 18 years ago
Sole proprietor 1 Yes
Identifiers
  • UT License # 4738858-4202
  • WA License # OC 60038172
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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