Individual
SHALEY JARVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1201 E 4500 S, MILLCREEK, UT 84117-4124
(801) 261-3664
Mailing address
1201 E 4500 S, MILLCREEK, UT 84117-4124
Taxonomy
Speciality
Code
Description
License number
State
225800000X
Recreation Therapist
Primary
13802924-4002
UT
Other
Enumeration date
06/11/2025
Last updated
06/11/2025
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