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NPI Code Detail

MEDICARE: KATIE KIRK INOUYE OTR/L

MEDICARE: KATIE KIRK INOUYE OTR/L
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 Therapist14205007-4201UT

General Provider Information

NPI Number : 1922804186
Entity Type Code : Individual
Provider Name (Legal Business Name) : KATIE KIRK INOUYE OTR/L
Provider Business Mailing Address
First Line : 3874 S EASTWOOD LN UNIT B
Second Line :
City : MILLCREEK
State : UT
Zip : 84109-3450
Country : US
Telephone Number : 801-664-2718
Fax Number :
Provider Business Practice Location Address
First Line : 50 N MEDICAL DR
Second Line :
City : SALT LAKE CITY
State : UT
Zip : 84132-0001
Country : US
Telephone Number : 801-581-2121
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/19/2025
Last Update Date : 01/23/2026

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Directions to “ KATIE KIRK INOUYE OTR/L” Practice Location

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