Individual
AARON EUGENE DEGRISELLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CTRS
Contact information
Practice address
1300 E CENTER ST, PROVO, UT 84606-3554
(801) 344-4226
Mailing address
1566 S 600 E, SPRINGVILLE, UT 84663
(801) 680-8079
Taxonomy
Speciality
Code
Description
License number
State
225800000X
Recreation Therapist
Primary
10185004-4002
UT
Other
Enumeration date
06/27/2019
Last updated
06/27/2019
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