NPI 1013442052
Recreate Therapy, PLLC
Practice location
- Address
- 2535 S Highway 89 STE 4, Brigham City, UT 84302-6729
- Phone
- (435) 494-1214
- Mailing address
- 275 W 1750 S APT #1, Perry, UT 84302-4903
Authorised official
- Name
- Ava Marie Crump Hanson
- Title
- Owner/Marriage and Family Therapist
- Phone
- (435) 632-7894
Registered specialties
Marriage & Family Therapist
Primary
Registry record
- NPI
- 1013442052
- Entity type
- Organization
- NPI issued
- 27 Apr 2017
- Record last updated
- 27 Apr 2017
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.