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Contact Information

KACEY L SHIVELEY, OTR/L
3741 W 12600 S STE 100
RIVERTON, UT84065-7215
 Phone: 833-577-3422
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatrics

225XP0200X 67 Occupational Therapist in Private Practice
Indicates primary specialty

NPI Profile & details for KACEY L SHIVELEY · (Female)

NPI # 1790469419
Status Active
Credentials OTR/L (Occupational Therapist, Registered, Licensed)
Entity Individual
Enumeration date 06/13/2023
Last updated 10/31/2024 - More than a year ago
Sole proprietor 1 No
Identifiers
  • UT License # 13446577-4201
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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