Healthcare Provider Details

I. General information

NPI: 1598682288
Provider Name (Legal Business Name): MEGAN MCALISTER / DAY PROGRAM MANAG R MCALISTER
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/02/2026
Last Update Date: 07/02/2026
Certification Date: 07/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1275 W 2320 S
WEST VALLEY CITY UT
84119-1448
US

IV. Provider business mailing address

1275 W 2320 S
WEST VALLEY CITY UT
84119-1448
US

V. Phone/Fax

Practice location:
  • Phone: 801-977-9779
  • Fax:
Mailing address:
  • Phone: 801-977-9779
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225800000X
TaxonomyRecreation Therapist
License Number14294357-4003
License Number StateUT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: