Healthcare Provider Details

I. General information

NPI: 1336062009
Provider Name (Legal Business Name): MAKENNA SCHOW WORKMAN OTR/L
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/31/2026
Last Update Date: 07/31/2026
Certification Date: 07/31/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1400 N 500 E
LOGAN UT
84341-2455
US

IV. Provider business mailing address

250 E 4TH N APT E1
PRESTON ID
83263-1185
US

V. Phone/Fax

Practice location:
  • Phone: 435-716-1000
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code225XP0200X
TaxonomyPediatric Occupational Therapist
License Number14252729-4201
License Number StateUT
# 2
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number14252729-4201
License Number StateUT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: