Provider Demographics
NPI:1649159468
Name:KUJALA, PAIGE
Entity type:Individual
Prefix:
First Name:PAIGE
Middle Name:
Last Name:KUJALA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:PAIGE
Other - Middle Name:
Other - Last Name:KETTELHUT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:577 N WEST CAPITOL ST # A
Mailing Address - Street 2:
Mailing Address - City:SALT LAKE CITY
Mailing Address - State:UT
Mailing Address - Zip Code:84103-1709
Mailing Address - Country:US
Mailing Address - Phone:906-200-1626
Mailing Address - Fax:
Practice Address - Street 1:5677 S REDWOOD RD UNIT 18
Practice Address - Street 2:
Practice Address - City:TAYLORSVILLE
Practice Address - State:UT
Practice Address - Zip Code:84123-5454
Practice Address - Country:US
Practice Address - Phone:385-526-5996
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-08-27
Last Update Date:2025-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker