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Lisha Marie Mortensen
NPI 1851045561 · on the registry since 2022
Practice
- Address
- 12453 S 265 W Ste B
Draper, UT 84020 - Phone
- (801) 443-7775
- Fax
- (801) 447-0107
- Organisation at this address
- Legendary Pediatric Therapy
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 13
Registry record
- Primary taxonomy
- 225X00000X
225X00000X
- Licence states on file
- UT
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2022-02-10
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Utah