RECREATE YOURSELF LLC NPI 1760237036

NPI Information

  • NPI: 1760237036
  • Provider Name: RECREATE YOURSELF, LLC
  • Classification: Recreation Therapist - 225800000X
  • Entity Type: Organization
  • Address: 404 HAWKS BLUFF CT
    WAKE FOREST, NC
    ZIP 27587
  • Phone: (984) 208-6566

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NPI Details

RECREATE YOURSELF, LLC is a recreation therapist in Wake Forest, NC. 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. RECREATE YOURSELF, LLC NPI is 1760237036. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

404 HAWKS BLUFF CT
WAKE FOREST, NC
ZIP 27587-398
Phone: (984) 208-6566

The provider's authorized official is Laura Holmes .
The authorized official title is Owner/recreational Therapist and has the following contact phone number (919) 412-2810.

The enumeration date for this NPI number is 4/20/2024 and was last updated on 4/20/2024.

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 TherapistYes

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

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