Provider Demographics
NPI:1730808197
Name:REMINGTON, KRISTEN CALDER (MOT, OTR)
Entity type:Individual
Prefix:
First Name:KRISTEN
Middle Name:CALDER
Last Name:REMINGTON
Suffix:
Gender:F
Credentials:MOT, OTR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1454 W 925 S
Mailing Address - Street 2:
Mailing Address - City:VERNAL
Mailing Address - State:UT
Mailing Address - Zip Code:84078-4240
Mailing Address - Country:US
Mailing Address - Phone:435-790-3077
Mailing Address - Fax:
Practice Address - Street 1:826 S 1500 E
Practice Address - Street 2:
Practice Address - City:VERNAL
Practice Address - State:UT
Practice Address - Zip Code:84078-8609
Practice Address - Country:US
Practice Address - Phone:435-781-3125
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-08-26
Last Update Date:2022-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT5539172-4201225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist