ANGEL GLADE NPI 1225883887

NPI Information

  • NPI: 1225883887
  • Provider Name: ANGEL GLADE
  • Classification: Recreation Therapist - 225800000X
  • Entity Type: Individual
  • Address: 4782 S HOLLADAY BLVD
    HOLLADAY, UT
    ZIP 84117
  • Phone: (385) 465-9002

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NPI Details

Angel Glade is a recreation therapist in Holladay, UT. The provider is a recreation therapist uses recreational activities for intervention in some physical, social or emotional behavior to bring about a desired change in that behavior and promote the growth and development of the patient. Angel Glade NPI is 1225883887. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

4782 S HOLLADAY BLVD
HOLLADAY, UT
ZIP 84117-444
Phone: (385) 465-9002

The enumeration date for this NPI number is 4/18/2024 and was last updated on 4/18/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1225800000XRecreation Therapist13325087-4003UTAHYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

NPI Synchronization or Removal

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