Annie Cook
Individual provider Active NPI Recreation Therapist · South Salt Lake, UT
NPI 1174415566 · NPPES record last updated Jul 18, 2025
Key facts
- NPI
- 1174415566
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Recreation Therapist 225800000X
- License
- 14221958-4003 (UT)
- Practice address
- 2472 S 300 E
South Salt Lake, UT 84115-2895 - Phone
- (801) 499-0244
- NPI assigned
- Jul 18, 2025
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 14221958-4003 | UT | MD | Recreation Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Recreation Therapist | 225800000X | 14221958-4003 | UT | Yes |
Addresses
Primary practice location
2472 S 300 E
South Salt Lake, UT 84115-2895
Mailing address
2472 S 300 E
South Salt Lake, UT 84115-2895
Other providers in South Salt Lake, UT
- Anne Marie Cluff
- Alan Barrett Cochrane
- Michael Colen
- Peter Bryan Conder
- Dajaria Conway
- Natalya Coombs
- Alicia Corado
- Eustolia Cordova
- Kelsey Marie Corr
- Jocelyn Cortez
All providers in South Salt Lake, UT · Recreation Therapist in Utah
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 18, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.