Whalio Doctors

NPI 1013578285

Aaron Eugene Degriselles, CTRS

Practitioner Recreation Therapist Provo, UT

Practice location

Address
1300 E Center St, Provo, UT 84606-3554
Phone
(801) 344-4226
Mailing address
1566 S 600 E, Springville, UT 84663

Registered specialties

Recreation Therapist Primary
Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225800000X Licence 10185004-4002 (UT)

Registry record

NPI
1013578285
Entity type
Individual
Sex (as registered)
Male
NPI issued
27 Jun 2019
Record last updated
27 Jun 2019

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.