IndividualActive
Zoe Ericksen
NPI 1376390468 · Recreation Therapist · Pleasant Grove, UT
Provider details
- NPI number
- 1376390468
- Entity type
- Individual
- Primary specialty
- Recreation TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Sex
- Female
- Sole proprietor
- Yes
- License
- 13913331-4003 (UT)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
25 Alpine Dr
Pleasant Grove, UT 84062-3511
Phone: (801) 785-3568
Approximate (ZIP-level) locationGet directions
Mailing address
1556 E 4095 S
Salt Lake City, UT 84124-1531
Registry dates
- Enumerated
- 2024-05-06
- Last updated
- 2024-05-06
- Certified
- 2024-05-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.