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

Miss. Mira Aliene Bettendorf, COTA/L

Individual provider Occupational Therapy Assistant · NPI 1467191510

Miss. Mira Aliene Bettendorf, COTA/L is an Occupational Therapy Assistant in South Salt Lake, Utah. Licensed in Utah. Registered with an NPI since 2022.

Licensed in
UT
In the registry since
2022
What do these letters mean?
COTA/L — Certified Occupational Therapy Assistant, Licensed
An occupational therapy assistant who is both certified and state licensed.

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Practice location Address checks out

2500 S State St
South Salt Lake, UT 84115-3164
Phone: (385) 646-5000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Therapy Assistant (primary) Taxonomy 224Z00000X · Licence 10853434-4202 (UT)

Record details

NPI number1467191510
Entity typeIndividual (Type 1)
GenderFemale
Credentials COTA/L
Sole proprietorNo
NPI enumeratedMay 27, 2022
Last updated in NPPESMay 27, 2022
Certification dateMay 27, 2022

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