NPI 1013578285
Aaron Eugene Degriselles, CTRS
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
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.