Elise Rose Lichtenberg Peterson
MSOTR/L | Occupational Therapist
100 N Mario Capecchi Dr, Salt Lake City
Utah, 84113-1103
801-662-1000 Maps & DirectionsElise Rose Lichtenberg Peterson is a Salt Lake City, Utah based therapist who is specialized in Occupational Therapy. Active license number of Elise Rose Lichtenberg Peterson is 10143483-4201 for Occupational Therapy in Utah. Her current practice location is 100 N Mario Capecchi Dr, Salt Lake City. Patients can reach her at 801-662-1000. Elise Rose Lichtenberg Peterson is MSOTR/L in Occupational Therapy and her NPI number (Unique professional ID assigned by NPPES) is 1194277749.
Elise Rose Lichtenberg Peterson provides interventions based on evaluation and which emphasize the therapeutic use of everyday life activities (i.e., occupations) with individuals or groups for the purpose of facilitating participation in roles and situations and in home, school, workplace, community and other settings. Occupational therapy services are provided for the purpose of promoting health and wellness and are provided to those who have or are at risk for developing an illness, injury, disease, disorder, condition, impairment, disability, activity limitation, or participation restriction.
Complete Profile:
Elise Rose Lichtenberg Peterson speciality, credentials, practice address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointment.
| Name: | Elise Rose Lichtenberg Peterson |
| Specialization: | Occupational Therapy |
| Gender: | Female |
| Credentials: | MSOTR/L |
| Practice Address: | 100 N Mario Capecchi Dr, Salt Lake City,
Utah, 84113-1103 |
| Phone: | 801-662-1000 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
| NPI Number: | 1194277749 |
| NPI Enumeration Date: | 31 Oct, 2016 |
| NPI Last Update On: | 24 Mar, 2020 |
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Elise Rose Lichtenberg Peterson are as mentioned below.
| License Number | Specialization | State | Status | |
| 10143483-4201 | Occupational Therapy | Utah | Primary | |
Other Medical Identifiers:
Other legacy medical identifiers associated with Elise Rose Lichtenberg Peterson such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 942854057 | Medicaid | Utah | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Elise Rose Lichtenberg Peterson
100 N Mario Capecchi Dr,
Salt Lake City, Utah |
| Zip: | 84113-1103 |
Patients can reach Elise Rose Lichtenberg Peterson at
100 N Mario Capecchi Dr, Salt Lake City, Utah or can
call to book an appointment on 801-662-1000.
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Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 March, 2026.