Melissa Anne Puckett in Boulder Creek - Recreation Therapist
Melissa Anne Puckett - NPI 1356562797
Melissa Anne Puckett is a Recreation Therapist in Boulder Creek, California. Melissa Anne Puckett practices all healthcare services and medical treatments related to Recreation Therapist. The NPI Number for Melissa Anne Puckett is 1356562797. The last update date is 2007-07-08.
Melissa Anne Puckett's current location address is 14395 W Park Ave, Boulder Creek, California. You can contact this provider via phone number 6504935000. The mailing address for Melissa Anne Puckett is 14395 W Park Ave, Boulder Creek, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Melissa Anne Puckett |
|---|---|
| Address | 14395 W Park Ave, Boulder Creek, California |
| Phone Number | 6504935000 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | MS |
NPI Number Detail
| NPI Number | 1356562797 |
|---|---|
| Provider Enumeration Date | 2007-05-02 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 14395 W Park Ave |
|---|---|
| City | Boulder Creek |
| State | California (CA) |
| Post Code | 950069304 |
| Phone Number | 6504935000 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Recreation Therapist |
|---|---|
| Taxonomy | 225800000X |
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Definition: 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. |
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Post Comment/ Review Below
What is the Melissa Anne Puckett's 1356562797?
The Melissa Anne Puckett's NPI (National Provider Identifier) Number is 1356562797. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where Melissa Anne Puckett's facilities are situated?
The facilities of Melissa Anne Puckett are physically located at the following address: 14395 W Park Ave, Boulder Creek, CA, 950069304.
What is Melissa Anne Puckett's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Melissa Anne Puckett's specialized field of practice is Recreation Therapist, and the corresponding taxonomy code that categorizes this area of specialization is 225800000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1356562797 to Melissa Anne Puckett?
The Centers for Medicare & Medicaid Services assigned the 1356562797 to Melissa Anne Puckett on 2007-05-02.
As of what date were the details related to Melissa Anne Puckett most recently updated or revised?
The information pertaining to Melissa Anne Puckett, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.