Individual
GERALDINE MCCULLOCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
X
Contact information
Practice address
451 E BISHOP FEDERAL LN, SALT LAKE CITY, UT 84115-2357
(801) 487-7557
Mailing address
451 E BISHOP FEDERAL LN, SALT LAKE CITY, UT 84115-2357
(801) 487-7557
Taxonomy
Speciality
Code
Description
License number
State
226000000X
Recreational Therapist Assistant
Primary
14271184003
UT
Other
Enumeration date
02/23/2026
Last updated
02/23/2026
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