Provider Demographics
NPI:1548029903
Name:GEE, NATHAN (OTD, OTR/L)
Entity type:Individual
Prefix:DR
First Name:NATHAN
Middle Name:
Last Name:GEE
Suffix:
Gender:M
Credentials:OTD, OTR/L
Other - Prefix:DR
Other - First Name:JACK
Other - Middle Name:
Other - Last Name:GEE
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:1136 ROSEWOOD LN
Mailing Address - Street 2:
Mailing Address - City:LAYTON
Mailing Address - State:UT
Mailing Address - Zip Code:84041-4400
Mailing Address - Country:US
Mailing Address - Phone:406-717-9132
Mailing Address - Fax:
Practice Address - Street 1:5484 ADAMS AVE PKWY
Practice Address - Street 2:
Practice Address - City:WASHINGTON TERRACE
Practice Address - State:UT
Practice Address - Zip Code:84405-4729
Practice Address - Country:US
Practice Address - Phone:801-618-7903
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-03-18
Last Update Date:2024-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT6182856-4201225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist