| Recreate Therapy, Pllc | |
|
2535 S Highway 89 Ste 4 Brigham City UT 84302-6729 | |
| (435) 494-1214 | |
| Not Available |
| Full Name | Recreate Therapy, Pllc |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 2535 S Highway 89, Brigham City, Utah |
| Authorized Official Name and Position | Ava Marie Crump Hanson (OWNER/MARRIAGE AND FAMILY THERAPIST) |
| Authorized Official Contact | 4356327894 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Recreate Therapy, Pllc 275 W 1750 S Apt #1 Perry UT 84302-4903 Ph: (435) 494-1214 | Recreate Therapy, Pllc 2535 S Highway 89 Ste 4 Brigham City UT 84302-6729 Ph: (435) 494-1214 |
| NPI Number | 1013442052 |
|---|---|
| Provider Enumeration Date | 04/27/2017 |
| Last Update Date | 04/27/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013442052 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | 9066126-3902 (Utah) | Primary |
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