Jaclyn Quarnberg
Individual provider Active NPI Recreation Therapist · Centerfield, UT
NPI 1942064597 · NPPES record last updated Feb 13, 2024
Key facts
- NPI
- 1942064597
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Recreation Therapist 225800000X
- License
- 11599501-4003 (UT)
- Practice address
- 10 West 400 South
Centerfield, UT 84622 - Phone
- (435) 528-2800
- Fax
- (435) 528-2828
- NPI assigned
- Feb 13, 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
| License | State | Type | Specialty |
|---|---|---|---|
| 11599501-4003 | UT | MD | Recreation Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Recreation Therapist | 225800000X | 11599501-4003 | UT | Yes |
Addresses
Primary practice location
10 West 400 South
Centerfield, UT 84622
Mailing address
277 E 200 S
Salina, UT 84654-1514
Phone (435) 979-7725
Other providers in Centerfield, UT
- Mayfield Community Care Center, Inc.
- Mission Health Services Inc
- Taleigh Petersen
- Dustin Van Peterson
- Jonda J. Purper
- Payton Sorensen
- Umatter Mentoring and Mental Health Services PLLC
- Valley Medical Inc
All providers in Centerfield, 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 Feb 13, 2024. 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.