MEDICARE: DENYSE LAHTI

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225X00000X	Occupational Therapist	267697-4201	UT

General Provider Information

NPI Number	:	1669420535
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DENYSE LAHTI

Provider Business Mailing Address
First Line	:	PO BOX 150173
Second Line	:
City	:	OGDEN
State	:	UT
Zip	:	84415
Country	:	US
Telephone Number	:	801-479-0601
Fax Number	:	801-479-4768

Provider Business Practice Location Address
First Line	:	10382 S JORDAN GTWY
Second Line	:
City	:	S JORDAN
State	:	UT
Zip	:	84095-3954
Country	:	US
Telephone Number	:	801-619-3670
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/04/2006
Last Update Date	:	07/08/2007

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