| Harley Elizabeth Kvenvold, | |
|
4460 S Highland Dr, Salt Lake City, UT 84124-3543 | |
| (801) 263-7169 | |
| Not Available |
| Full Name | Harley Elizabeth Kvenvold |
|---|---|
| Gender | Female |
| Speciality | Occupational Therapist |
| Location | 4460 S Highland Dr, Salt Lake City, Utah |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265903017 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225X00000X | Occupational Therapist | 8171728-4201 (Utah) | Primary |
| Provider Name | University Of Utah |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1588656870 PECOS PAC ID: 0749262665 Enrollment ID: O20050629000441 |
| Mailing Address | Practice Location Address |
|---|---|
| Harley Elizabeth Kvenvold, 4460 S Highland Dr, Salt Lake City, UT 84124-3543 Ph: () - | Harley Elizabeth Kvenvold, 4460 S Highland Dr, Salt Lake City, UT 84124-3543 Ph: (801) 263-7169 |
Adam Porter, MOTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 50 N Medical Dr, Salt Lake City, UT 84132 Phone: 801-585-2119 | |
Aloe Otte, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1952 E 7000 S, Salt Lake City, UT 84121 Phone: 801-942-3311 Fax: 801-942-5955 | |
Kyle Fairchild, MS OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 451 E Bishop Federal Ln, Salt Lake City, UT 84115 Phone: 801-487-7557 | |
Mark Powell, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1200 E 3900 S, Salt Lake City, UT 84124 Phone: 801-268-7111 | |
Steven Wayne Newton, OT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 451 Bishop Federal Lane, Salt Lake City, UT 84115 Phone: 801-493-8903 Fax: 801-468-6843 | |
Jeff Mackay, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1952 E 7000 S, Salt Lake City, UT 84121 Phone: 801-942-3311 Fax: 801-495-5303 | |
Kathryn Roof, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1952 E 7000 S, Salt Lake City, UT 84121 Phone: 801-942-3311 Fax: 801-495-5303 |