Whalio Doctors

NPI 1083266993

Michaela Goodloe

Practitioner Recreational Therapist Assistant Brigham City, UT

Practice location

Address
1040 S 500 W, Brigham City, UT 84302-5599
Phone
(801) 864-8164
Mailing address
52 E Spring Creek Pkwy, Providence, UT 84332-9828

Registered specialties (2)

Recreational Therapist Assistant Primary
Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 226000000X Licence 13482080-4003 (UT)
Music Therapist
Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225A00000X Licence 13482080-4010 (UT)

Registry record

NPI
1083266993
Entity type
Individual
Sex (as registered)
Female
NPI issued
10 Jul 2019
Record last updated
9 Apr 2024

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.