Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Destani Amanda Ortiz

Individual provider Recreation Therapist · NPI 1104665421

Destani Amanda Ortiz is a Recreation Therapist in Sandy, Utah. Practices as a sole proprietor. Licensed in Utah.

Licensed in
UT
In the registry since
2024

Practice location Address checks out

50 E 9000 S
Sandy, UT 84070-2201
Phone: (801) 561-9839
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Recreation Therapist (primary) Taxonomy 225800000X · Licence 1392825-4003 (UT)

Record details

NPI number1104665421
Entity typeIndividual (Type 1)
GenderNot disclosed
Sole proprietorYes
NPI enumeratedMay 24, 2024
Last updated in NPPESMay 24, 2024
Certification dateMay 24, 2024
Mailing address3588 S 4200 W Apt A3, West Valley City, UT 84120-3272

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