Healthcare Provider Details

I. General information

NPI: 1982414272
Provider Name (Legal Business Name): KAILEE WILLIAMS OTR/L
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/09/2025
Last Update Date: 01/09/2025
Certification Date: 01/09/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

321 N MALL DR STE N
ST GEORGE UT
84790-7316
US

IV. Provider business mailing address

780 S COVE DR STE 2
CEDAR CITY UT
84720-1847
US

V. Phone/Fax

Practice location:
  • Phone: 435-200-4844
  • Fax:
Mailing address:
  • Phone: 270-847-8016
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number14199543-4201
License Number StateUT
# 2
Primary TaxonomyN
Taxonomy Code225XP0200X
TaxonomyPediatric Occupational Therapist
License Number14199543-4201
License Number StateUT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: