CASSANDRA JO GARDNER TRS/CTRS NPI 1477316503

NPI Information

  • NPI: 1477316503
  • Provider Name: CASSANDRA JO GARDNER, TRS/CTRS
  • Classification: Recreation Therapist - 225800000X
  • Entity Type: Individual
  • Address: 4558 ADAMS AVE
    SOUTH OGDEN, UT
    ZIP 84403
  • Phone: (435) 823-3402

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NPI Details

Cassandra Jo Gardner, TRS/CTRS is a recreation therapist in South Ogden, 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. Cassandra Jo Gardner, TRS/CTRS NPI is 1477316503. 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:

4558 ADAMS AVE
SOUTH OGDEN, UT
ZIP 84403-104
Phone: (435) 823-3402

The enumeration date for this NPI number is 2/1/2024 and was last updated on 2/1/2024.

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 Therapist11392749-4002UTAHYes

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: 3/30/2025

NPI Synchronization or Removal

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