IndividualActive
Clyde Deere
NPI 1144897117 · Recreation Therapist · Dallas, TX
Provider details
- NPI number
- 1144897117
- Entity type
- Individual
- Primary specialty
- Recreation TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Sex
- Male
- Sole proprietor
- Yes
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
- Recreation Therapist225800000X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
4500 S Lancaster Rd
Dallas, TX 75216-7167
Phone: (214) 857-1134
Approximate (ZIP-level) locationGet directions
Mailing address
4500 S Lancaster Rd
Dallas, TX 75216-7167
Registry dates
- Enumerated
- 2021-06-08
- Last updated
- 2021-06-08
- Certified
- 2021-06-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.