Whalio Doctors

NPI 1013442052

Recreate Therapy, PLLC

Organisation Marriage & Family Therapist Brigham City, UT

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
Behavioral Health & Social Service Providers Taxonomy 106H00000X Licence 9066126-3902 (UT)

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.