Craig Richard Brandum in Sacramento - Recreation Therapist
Craig Richard Brandum - NPI 1710166376
Craig Richard Brandum is a Recreation Therapist in Sacramento, California. Craig Richard Brandum practices all healthcare services and medical treatments related to Recreation Therapist. The NPI Number for Craig Richard Brandum is 1710166376. The last update date is 2007-10-31.
Craig Richard Brandum's current location address is 9601 Kiefer Blvd, Sacramento, California. You can contact this provider via phone number 9168769359. The mailing address for Craig Richard Brandum is 9601 Kiefer Blvd, Sacramento, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Craig Richard Brandum |
|---|---|
| Address | 9601 Kiefer Blvd, Sacramento, California |
| Phone Number | 9168769359 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1710166376 |
|---|---|
| Provider Enumeration Date | 2007-10-31 |
| Last Updated Date | 2007-10-31 |
Provider Mailing Address Detail
| Address | 9601 Kiefer Blvd |
|---|---|
| City | Sacramento |
| State | California (CA) |
| Post Code | 958273818 |
| Phone Number | 9168769359 |
| 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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What is the unique 10-digit identifier code issued to Craig Richard Brandum by the Centers for Medicare & Medicaid Services?
The Craig Richard Brandum has been assigned the NPI (National Provider Identifier) 1710166376 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please share the complete physical address where Craig Richard Brandum is geographically located?
The Craig Richard Brandum is physically situated at the following location: 9601 Kiefer Blvd, Sacramento, CA, 958273818.
What is Craig Richard Brandum's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Craig Richard Brandum is Recreation Therapist, and the taxonomy code that categorizes this field of expertise is 225800000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1710166376 to Craig Richard Brandum?
The Centers for Medicare & Medicaid Services originally issued the 1710166376 to Craig Richard Brandum on 2007-10-31.
When was the information regarding Craig Richard Brandum most recently updated?
The details pertaining to the Craig Richard Brandum, including its address, specialty, and other relevant information, were last refreshed on 2007-10-31.