NPI 1174378780

Jessica Tatyana Hansen

Practitioner Recreational Therapist Assistant Tooele, UT

Practice location

Address: 85 E 2000 N, Tooele, UT 84074-9280
Phone: (435) 225-1068
Mailing address: 352 W 440 S, Tooele, UT 84074-2909

Registered specialties

Recreational Therapist Assistant Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 226000000X Licence 13901975-4003 (UT)

Other Recreational Therapist Assistant providers in Utah →

Registry record

NPI: 1174378780
Entity type: Individual
Sex (as registered): Female
NPI issued: 18 Apr 2024
Record last updated: 18 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.