Most Relevant Information
Provider Data
| NPI Number: | 1003303694 |
| Provider Name: | KYLE FAIRCHILD MS OTR/L |
| Entity Type: | Individual |
| Taxonomy Code: | 225X00000X |
| Specialty: | Occupational Therapist |
| License Number: | 9379311-4201 |
Most Important Dates
| Enumeration Date: | 04/18/2018 |
| Last Updated: | 04/18/2018 |
Provider Practice Location
451 E BISHOP FEDERAL LN
SALT LAKE CITY
UT
841152357
Practice Location Phone/Fax
| Phone: | 8014877557 |
| Fax: |
Provider Mailing Location
877 W 3600 S
BOUNTIFUL
UT
840108423
Provider Mailing Phone/Fax
| Phone: | 2086701018 |
| Fax: |