Healthcare Provider Details

I. General information

NPI: 1972192656
Provider Name (Legal Business Name): RACHEL LESTER BS COTA/L
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/15/2021
Last Update Date: 12/01/2025
Certification Date: 12/01/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

18406 W WHITE QUEST DR
EAGLE MOUNTAIN UT
84013-9701
US

IV. Provider business mailing address

4807 N MT WAAS DR
EAGLE MOUNTAIN UT
84005-5150
US

V. Phone/Fax

Practice location:
  • Phone: 801-355-4699
  • Fax:
Mailing address:
  • Phone: 256-630-3146
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code224Z00000X
TaxonomyOccupational Therapy Assistant
License Number13308461-4202
License Number StateUT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: