ELLISON M KRUCKENBERG (COTA/L) – Counselor, NPI 1386100402
Counselor
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Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for ELLISON M KRUCKENBERG (COTA/L)
401 S 400 E
BOUNTIFUL, UT 840104933
Phone: (801) 295-2361
Type: Location
6013, Redwood Road, Taylorsville, Salt Lake County, Utah, 84123, United States
TAYLORSVILLE, UT 841235220
Phone: (801) 255-5131
Type: Mailing
9487 S WASATCH DOWNS CIR
SOUTH JORDAN, UT 840959289
Phone: (385) 226-9401
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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Medicare Enrollment & Revalidation
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No Medicare enrollment or revalidation data available for this provider in our database.
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Medicare Utilization (FFS)
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No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 84010)
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