NPI 1417774001

Shane Brooks, TRSCTRS

Practitioner Recreational Therapist Assistant West Jordan, UT

Practice location

Address: 5500 W Bagley Park Rd, West Jordan, UT 84081-5697
Phone: (801) 282-1000

Registered specialties

Recreational Therapist Assistant Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 226000000X Licence 12998539-4002 (UT)

Other Recreational Therapist Assistant providers in Utah →

Registry record

NPI: 1417774001
Entity type: Individual
Sex (as registered): Male
NPI issued: 24 Sep 2024
Record last updated: 24 Sep 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.