; NPI #1093165599

Contact Information

JESSICA K WAHL, OT

280 N MAIN ST
BOUNTIFUL, UT 84010-6136

Phone: 016-624-9498
Fax:
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Children	283XC2000X

Indicates primary specialty

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NPI Profile & details for

NPI Number 1093165599

Entity Organization

Organization subpart ¹ Not specified

Enumeration date 06/15/2016

Last updated 01/29/2026 - About 4 months ago

Identifiers

License #

9819390-4201

¹ Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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Specialty

Children

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