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NPI Code Detail

MEDICARE: MS. LUANNE FAKLER BORGMEIER OTR

MEDICARE: MS. LUANNE FAKLER BORGMEIER 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
1225X00000XOccupational Therapist270047-4201UT

General Provider Information

NPI Number : 1811031974
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. LUANNE FAKLER BORGMEIER OTR
Provider Business Mailing Address
First Line : PO BOX 25537
Second Line :
City : SALT LAKE CITY
State : UT
Zip : 84125-0537
Country : US
Telephone Number : 801-507-2050
Fax Number :
Provider Business Practice Location Address
First Line : 5171 S COTTONWOOD ST STE 900
Second Line :
City : MURRAY
State : UT
Zip : 84107-5704
Country : US
Telephone Number : 801-507-2050
Fax Number : 801-507-9912
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/20/2007
Last Update Date : 06/15/2026

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Directions to “ MS. LUANNE FAKLER BORGMEIER OTR” Practice Location

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