Summer Alyse Broeker

NPI #1174498109 in Provo, Utah

Provider Information

NPI Number: 1174498109
Entity Type: Individual
Name: Summer Alyse Broeker
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Recreation Therapist
Enumeration Date: Oct 8, 2025
Last Updated: Oct 8, 2025

Practice Location

Address: 1001 N 500 W
City: Provo
State: Utah
ZIP Code: 84604-3305
Phone: (801) 377-9661

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Recreation Therapist	225800000X	Primary

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