Carol Jones, TRT

Individual provider Active NPI Recreation Therapist · Blanding, UT

NPI 1518705995 · NPPES record last updated Jul 18, 2024

Key facts

NPI
1518705995
Entity type
Individual (NPI type 1)
Primary specialty
Recreation Therapist 225800000X
License
280676-4003 (UT)
Practice address
818 N 400 W
Blanding, UT 84511-3417
Phone
(435) 678-2251
NPI assigned
Jul 18, 2024
Sex
Female
Sole proprietor
No

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
280676-4003UTMDRecreation Therapist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Recreation Therapist 225800000X 280676-4003 UT Yes

Addresses

Primary practice location

818 N 400 W
Blanding, UT 84511-3417

Mailing address

818 N 400 W
Blanding, UT 84511-3417
Phone (435) 678-2251

Other providers in Blanding, UT

All providers in Blanding, UT · Recreation Therapist in Utah

Sources for this page

Verify at the official NPI Registry.