Individual provider · Type 1 NPI

Kelly Lee Sullivan

Recreation Therapist · Salt Lake City, UT

NPI number 1740104132 Active

Practice location

2730 E 3300 S
Salt Lake City, UT 84109-2819

Call (801) 487-0896 Map

Specialties and licenses

TaxonomyCodeLicense
Recreation Therapist Primary 225800000X14302761-4003 (UT)

Recreation Therapist: A recreation therapist uses recreational activities for intervention in some physical, social or emotional behavior to bring about a desired change in that behavior and promote the growth and development of the patient.

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About NPI 1740104132

Kelly Lee Sullivan's National Provider Identifier is 1740104132, issued on Aug 7, 2026. The primary taxonomy on file is Recreation Therapist (225800000X), and the practice location is in Salt Lake City, UT. The record was last updated on Aug 7, 2026.