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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

ELIZA MAVIS ANDERSON

Active

ELIZA MAVIS ANDERSON is a Recreation Therapist healthcare provider located in PROVO, Utah. NPI 1770390684 is currently active in the NPPES registry. Verify at CMS.

Recreation Therapist · PROVO, UT

Registration Details

NPI Number
1770390684
Provider Type
Individual
Gender
Female
NPI Issued
Dec 13, 2024 (1.637651469274 yrs)
Last Updated
Dec 13, 2024
License
14195558-4003 (UT)

Practice Information

Address
1001 N 500 W
PROVO, UT, 846043305
Browse UT providers · Browse ZIP 84604
Phone
8013779661
Primary Specialty
Recreation Therapist
225800000X

Other Recreation Therapist Providers in PROVO, UT

Name Credential NPI
AARON EUGENE DEGRISELLES CTRS 1013578285
EMILY M CARLISLE 1285455014
CONSUELO ISABEL GARZA 1164230223
JENNIFER KENNAN 1912791104
KIERA TAYLOR 1346123833
SUMMER ALYSE BROEKER 1174498109
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.