Kris T Breault in Indianola - Recreation Therapist
Kris T Breault - NPI 1912947623
Kris T Breault is a Recreation Therapist in Indianola, Pennsylvania. Kris T Breault practices all healthcare services and medical treatments related to Recreation Therapist. The NPI Number for Kris T Breault is 1912947623. The last update date is 2022-07-21.
Kris T Breault's current location address is 319 Grandview Dr, Indianola, Pennsylvania. You can contact this provider via phone number 4127670188. The mailing address for Kris T Breault is 319 Grandview Dr, Indianola, Pennsylvania. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kris T Breault |
|---|---|
| Address | 319 Grandview Dr, Indianola, Pennsylvania |
| Phone Number | 4127670188 |
| Fax Number | |
| Sole Proprietor | X |
| Credentials | CTRS |
NPI Number Detail
| NPI Number | 1912947623 |
|---|---|
| Provider Enumeration Date | 2006-06-08 |
| Last Updated Date | 2022-07-21 |
Provider Mailing Address Detail
| Address | 319 Grandview Dr |
|---|---|
| City | Indianola |
| State | Pennsylvania (PA) |
| Post Code | 150511005 |
| Phone Number | 4127670188 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Recreation Therapist |
|---|---|
| Taxonomy | 225800000X |
| Licence No | 15977 |
|
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. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 15977 | PA | CTRS |
Post Comment/ Review Below
What is the unique identifier code issued to Kris T Breault by the Centers for Medicare & Medicaid Services?
The Kris T Breault has been assigned the NPI (National Provider Identifier) 1912947623. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical address where Kris T Breault is geographically located?
The Kris T Breault is physically situated at the following location: 319 Grandview Dr, Indianola, PA, 150511005.
What is the Kris T Breault's specialty and taxonomy code?
The Kris T Breault's specialty is Recreation Therapist, and the corresponding taxonomy code is 225800000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1912947623 to Kris T Breault?
The Kris T Breault received its 1912947623 assignment from the Centers for Medicare & Medicaid Services on 2006-06-08.
When was the information regarding Kris T Breault, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Kris T Breault, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2022-07-21.
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