MEDICARE: UPUTAUA KEIL

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	225800000X	Recreation Therapist		UT

General Provider Information

NPI Number	:	1861347171
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	UPUTAUA KEIL

Provider Business Mailing Address
First Line	:	628 W 580 S
Second Line	:
City	:	OREM
State	:	UT
Zip	:	84058-6011
Country	:	US
Telephone Number	:	801-828-5428
Fax Number	:

Provider Business Practice Location Address
First Line	:	1001 N 500 W
Second Line	:
City	:	PROVO
State	:	UT
Zip	:	84604-3305
Country	:	US
Telephone Number	:	801-377-9661
Fax Number	:

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

Provider Enumeration Date	:	03/02/2026
Last Update Date	:	03/02/2026

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Directions to “ UPUTAUA KEIL ” Practice Location

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