Provider Demographics
NPI:1447561733
Name:BOUWHUIS, DARIN ANTHONY (OTR/L)
Entity Type:Individual
Prefix:MR
First Name:DARIN
Middle Name:ANTHONY
Last Name:BOUWHUIS
Suffix:
Gender:M
Credentials:OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2717 S 800 E
Mailing Address - Street 2:
Mailing Address - City:SALT LAKE CITY
Mailing Address - State:UT
Mailing Address - Zip Code:84106-1748
Mailing Address - Country:US
Mailing Address - Phone:801-485-3432
Mailing Address - Fax:
Practice Address - Street 1:50 E 9000 S
Practice Address - Street 2:
Practice Address - City:SANDY
Practice Address - State:UT
Practice Address - Zip Code:84070-2201
Practice Address - Country:US
Practice Address - Phone:801-561-9839
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-07-01
Last Update Date:2010-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT355391-4201225XP0019X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XP0019XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPhysical Rehabilitation