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

Kelly Lee Sullivan

Individual provider Recreation Therapist · NPI 1740104132

Kelly Lee Sullivan is a Recreation Therapist in Salt Lake City, Utah. Licensed in Utah. Registered with an NPI since 2026.

Licensed in
UT
In the registry since
2026

Practice location Address checks out

2730 E 3300 S
Salt Lake City, UT 84109-2819
Phone: (801) 487-0896
Show map & directions

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

Specialties & licences

Recreation Therapist (primary) Taxonomy 225800000X · Licence 14302761-4003 (UT)

Record details

NPI number1740104132
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedAugust 7, 2026
Last updated in NPPESAugust 7, 2026
Certification dateAugust 7, 2026

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