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

Lacy Petersen

Individual provider Occupational Therapist · NPI 1669634465

Lacy Petersen is an Occupational Therapist in Salt Lake City, Utah. Practices as a sole proprietor. Licensed in Arizona.

Licensed in
AZ
In the registry since
2008

Practice location Address checks out

1952 E 7000 S
Salt Lake City, UT 84121-6877
Phone: (801) 942-3311
Fax: (801) 495-5303
Show map & directions

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

Specialties & licences

Occupational Therapist (primary) Taxonomy 225X00000X · Licence 3646 (AZ)

Record details

NPI number1669634465
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJuly 2, 2008
Last updated in NPPESJuly 2, 2008

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