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

Mikelle Coleman Goodman

Individual provider Occupational Therapy Assistant · NPI 1710489737

Mikelle Coleman Goodman is an Occupational Therapy Assistant in Salt Lake City, Utah. Licensed in Utah. Registered with an NPI since 2018.

Licensed in
UT
In the registry since
2018

Practice location Address checks out

700 Foothill Blvd
Salt Lake City, UT 84113-1104
Phone: (801) 584-1900
Show map & directions

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

Specialties & licences

Occupational Therapy Assistant (primary) Taxonomy 224Z00000X · Licence 8106618-4202 (UT)

Record details

NPI number1710489737
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMarch 6, 2018
Last updated in NPPESMarch 6, 2018

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