Cassidy T Immak

NPI #1063221265 in Roy, Utah

Provider Information

NPI Number: 1063221265
Entity Type: Individual
Name: Cassidy T Immak
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Recreation Therapist
Enumeration Date: Jan 2, 2025
Last Updated: Jan 2, 2025

Practice Location

Address: 2700 W 5600 S
City: Roy
State: Utah
ZIP Code: 84067-1372
Phone: (385) 380-9697

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Recreation Therapist	225800000X	Primary

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