Rispah Otieno

Peer Specialist · Tooele, UT

Individual Active NPI

NPI number 1063012409

Practice location

100 S 1000 W
Tooele, UT 84074-4010
Phone
(888) 949-4864

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NPI record

NPI
1063012409
Entity type
Individual (Type 1)
Enumeration date
October 26, 2020
Last updated
December 28, 2022
Certified
December 28, 2022
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Peer Specialist Primary 175T00000X — —
Behavior Technician 106S00000X — UT

Mailing address

4460 S Highland Dr
Millcreek, UT 84124-3543
Phone
(888) 949-4864

Other practice locations (1)

  • 515 S 700 E Ste 2A, Salt Lake City, UT 84102-2855 · (801) 935-4946

About Rispah Otieno

Rispah Otieno is a healthcare provider registered in the NPI registry with the primary taxonomy Peer Specialist (code 175T00000X). The practice location is 100 S 1000 W, Tooele, UT 84074-4010. The NPI number 1063012409 was assigned on October 26, 2020 and the record was last updated on December 28, 2022.

Frequently asked questions

What is the NPI number of Rispah Otieno?

The NPI number is 1063012409.

What is the phone number of Rispah Otieno?

The phone number listed for the practice location is (888) 949-4864.

Where is Rispah Otieno located?

100 S 1000 W, Tooele, UT 84074-4010.

What is the taxonomy code for Rispah Otieno?

The primary taxonomy code is 175T00000X – Peer Specialist; 1 more listed above.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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