Healthcare Provider Details

I. General information

NPI: 1255202016
Provider Name (Legal Business Name): LYNDSAY FAIT OTD, OTR/L
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/15/2025
Last Update Date: 09/15/2025
Certification Date: 09/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6012 S 700 W
MURRAY UT
84123-6812
US

IV. Provider business mailing address

6012 S 700 W
MURRAY UT
84123-6812
US

V. Phone/Fax

Practice location:
  • Phone: 801-633-4663
  • Fax:
Mailing address:
  • Phone: 801-633-4663
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number6961577-4201
License Number StateUT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: