IndividualActive
Cassidy Immak
NPI 1063221265 · Recreation Therapist · Roy, UT
Provider details
- NPI number
- 1063221265
- Entity type
- Individual
- Primary specialty
- Recreation TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Sex
- Female
- Sole proprietor
- No
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
2700 W 5600 S
Roy, UT 84067-1372
Phone: (385) 380-9697
Approximate (ZIP-level) locationGet directions
Mailing address
2700 W 5600 S
Roy, UT 84067-1372
Registry dates
- Enumerated
- 2025-01-02
- Last updated
- 2025-01-02
- Certified
- 2025-01-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.