Melodi Bass

Individual provider Active NPI Recreation Therapist · Springville, UT

NPI 1831924927 · NPPES record last updated Sep 6, 2024

Key facts

NPI
1831924927
Entity type
Individual (NPI type 1)
Primary specialty
Recreation Therapist 225800000X
License
7806549-4002 (UT)
Practice address
1147 W 100 N
Springville, UT 84663-5614
Phone
(801) 243-7222
NPI assigned
Sep 6, 2024
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

LicenseStateTypeSpecialty
7806549-4002UTMDRecreation Therapist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Recreation Therapist 225800000X 7806549-4002 UT Yes

Addresses

Primary practice location

1147 W 100 N
Springville, UT 84663-5614

Mailing address

1147 W 100 N
Springville, UT 84663-5614

Other providers in Springville, UT

All providers in Springville, UT · Recreation Therapist in Utah

Sources for this page

Verify at the official NPI Registry.