Raquel A Emery, CTRS

Individual provider Active NPI Recreation Therapist · Sheridan, WY

NPI 1730898503 · NPPES record last updated Nov 21, 2022

Key facts

NPI
1730898503
Entity type
Individual (NPI type 1)
Primary specialty
Recreation Therapist 225800000X
License
85243 (IL)
Practice address
1898 Fort Rd
Sheridan, WY 82801-8320
Phone
(307) 461-2843
NPI assigned
Nov 21, 2022
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
85243ILMDRecreation Therapist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Recreation Therapist 225800000X 85243 IL Yes

Addresses

Primary practice location

1898 Fort Rd
Sheridan, WY 82801-8320

Mailing address

19 N Sheridan Ave
Sheridan, WY 82801-4436
Phone (512) 820-0261

Other providers in Sheridan, WY

All providers in Sheridan, WY · Recreation Therapist in Wyoming

Sources for this page

Verify at the official NPI Registry.