Lannie Olsen, TRT

Individual provider Active NPI Recreation Therapist · Ferron, UT

NPI 1235970773 · NPPES record last updated Jun 6, 2024

Key facts

NPI
1235970773
Entity type
Individual (NPI type 1)
Primary specialty
Recreation Therapist 225800000X
License
12813190-4003 (UT)
Practice address
455 W Mill Rd
Ferron, UT 84523-4526
Phone
(435) 384-3516
NPI assigned
Jun 6, 2024
Sex
Female
Sole proprietor
No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
12813190-4003UTMDRecreation Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Emery County Care and Rehabilitation Center Current Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Recreation Therapist 225800000X 12813190-4003 UT Yes

Addresses

Primary practice location

455 W Mill Rd
Ferron, UT 84523-4526

Mailing address

PO Box 152
Ferron, UT 84523-0152
Phone (435) 609-6543

Other providers in Ferron, UT

All providers in Ferron, UT · Recreation Therapist in Utah

Sources for this page

Verify at the official NPI Registry.