Individual
KAMI POLL HOUCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
996 W 800 S, PAYSON, UT 84651-2766
(801) 465-5111
Mailing address
996 W 800 S, PAYSON, UT 84651-2766
(801) 465-5111
Taxonomy
Speciality
Code
Description
License number
State
225800000X
Recreation Therapist
Primary
8829636-4002
UT
Other
Enumeration date
10/18/2018
Last updated
10/18/2018
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