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

JADE M IBARRA

Active Sole Proprietor

JADE M IBARRA is a Recreation Therapist healthcare provider located in SOUTH SALT LAKE, Utah. NPI 1801653068 is currently active in the NPPES registry. Verify at CMS.

Recreation Therapist · SOUTH SALT LAKE, UT

Registration Details

NPI Number
1801653068
Provider Type
Individual
Gender
Female
NPI Issued
Mar 4, 2024 (2.4647384443088 yrs)
Last Updated
Mar 4, 2024
License
13341839-4003 (UT)
Sole Proprietor
Yes

Practice Information

Address
2472 S 300 E
SOUTH SALT LAKE, UT, 841152895
Browse UT providers · Browse ZIP 84115
Phone
8014662211
Primary Specialty
Recreation Therapist
225800000X

Other Recreation Therapist Providers in SOUTH SALT LAKE, UT

Name Credential NPI
ANNIE COOK 1174415566
KAREN SERRANO ROBLES 1285596635
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.