Individual
KENADEE GROBERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1205 E BONNER WAY, MILLCREEK, UT 84117-4917
(801) 262-2908
Mailing address
1205 E BONNER WAY, MILLCREEK, UT 84117-4917
Taxonomy
Speciality
Code
Description
License number
State
226000000X
Recreational Therapist Assistant
Primary
—
UT
Other
Enumeration date
11/03/2025
Last updated
11/03/2025
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