Cassidy T. Immak
Recreation Therapist · Roy, UT
NPI number
1063221265
Practice location
2700 W 5600 SRoy, UT 84067-1372
- Phone
- (385) 380-9697
NPI record
- NPI
- 1063221265
- Entity type
- Individual (Type 1)
- Enumeration date
- January 2, 2025
- Last updated
- January 2, 2025
- Certified
- January 2, 2025
- Sole proprietor
- No
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| Recreation Therapist Primary | 225800000X |
— | — |
About Cassidy Immak
Cassidy T. Immak is a healthcare provider registered in the NPI registry with the primary taxonomy Recreation Therapist (code 225800000X). The practice location is 2700 W 5600 S, Roy, UT 84067-1372. The NPI number 1063221265 was assigned on January 2, 2025 and the record was last updated on January 2, 2025.
Frequently asked questions
What is the NPI number of Cassidy T. Immak?
The NPI number is 1063221265.
What is the phone number of Cassidy Immak?
The phone number listed for the practice location is (385) 380-9697.
Where is Cassidy Immak located?
2700 W 5600 S, Roy, UT 84067-1372.
What is the taxonomy code for Cassidy Immak?
The primary taxonomy code is 225800000X – Recreation Therapist.
Is this information correct?
All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.
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