MEDICARE: RHONDA ELLIOTT OTR

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225XH1200X	Hand Occupational Therapist	88130	WI
2	225X00000X	Occupational Therapist	7730245-4201	UT

General Provider Information

NPI Number	:	1346442522
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RHONDA ELLIOTT OTR

Provider Business Mailing Address
First Line	:	900 ROUND VALLEY DR STE 100
Second Line	:
City	:	PARK CITY
State	:	UT
Zip	:	84060-7552
Country	:	US
Telephone Number	:	435-655-6600
Fax Number	:	435-655-2388

Provider Business Practice Location Address
First Line	:	6340 S 3000 E STE 200
Second Line	:
City	:	COTTONWOOD HEIGHTS
State	:	UT
Zip	:	84121-3552
Country	:	US
Telephone Number	:	435-655-6600
Fax Number	:	435-655-2388

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/01/2007
Last Update Date	:	06/06/2026

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