Provider Demographics
NPI:1417667494
Name:DRANSFIELD, MARCEL (OTR/L)
Entity Type:Individual
Prefix:
First Name:MARCEL
Middle Name:
Last Name:DRANSFIELD
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:
Other - First Name:MARCIE
Other - Middle Name:DRANSFIELD
Other - Last Name:GRAVES
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:OTR/L
Mailing Address - Street 1:1163 E CHARLTON AVE
Mailing Address - Street 2:
Mailing Address - City:SALT LAKE CITY
Mailing Address - State:UT
Mailing Address - Zip Code:84106-2603
Mailing Address - Country:US
Mailing Address - Phone:858-598-7501
Mailing Address - Fax:
Practice Address - Street 1:665 CUTLER DR
Practice Address - Street 2:
Practice Address - City:NORTH SALT LAKE
Practice Address - State:UT
Practice Address - Zip Code:84054-2970
Practice Address - Country:US
Practice Address - Phone:801-936-0318
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-11-30
Last Update Date:2022-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
225XP0200X
UT9129368-4201225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist
No225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
UT9129368-4201OtherSTATE OF UTAH DEPARTMENT OF COMMERCE