NPI 1063221265

Cassidy T Immak

Practitioner Recreation Therapist Roy, UT

Practice location

Address: 2700 W 5600 S, Roy, UT 84067-1372
Phone: (385) 380-9697

Registered specialties

Recreation Therapist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225800000X

Other Recreation Therapist providers in Utah →

Registry record

NPI: 1063221265
Entity type: Individual
Sex (as registered): Female
NPI issued: 2 Jan 2025
Record last updated: 2 Jan 2025

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.