Individual
BETTY TALO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
X
Contact information
Practice address
523 N MAIN ST, BOUNTIFUL, UT 84010-6036
(385) 280-3016
(385) 280-3016
Mailing address
523 N MAIN ST, BOUNTIFUL, UT 84010-6036
(385) 280-3016
(385) 280-3016
Taxonomy
Speciality
Code
Description
License number
State
226000000X
Recreational Therapist Assistant
8583153-4003
UT
226000000X
Recreational Therapist Assistant
Primary
—
—
Other
Enumeration date
07/18/2025
Last updated
07/18/2025
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