Individual
KASSIDEY RUE MCRAE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
523 N MAIN ST, BOUNTIFUL, UT 84010-6036
(801) 951-2273
Mailing address
523 N MAIN ST, BOUNTIFUL, UT 84010-6036
Taxonomy
Speciality
Code
Description
License number
State
225800000X
Recreation Therapist
—
—
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
UT
Other
Enumeration date
03/04/2024
Last updated
03/04/2024
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