Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Beaver Valley Hospital

Organization Recreation Therapist · NPI 1912414996

Beaver Valley Hospital is a Recreation Therapist in Provo, Utah. Registered with an NPI since 2017.

In the registry since
2017

Practice location Address checks out

1001 N 500 W
Provo, UT 84604-3305
Phone: (801) 377-9661
Fax: (801) 377-9747
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Recreation Therapist (primary) Taxonomy 225800000X

Record details

NPI number1912414996
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Soon Burnam — Delegated Official · (949) 540-1249
Other names Provo Rehabilitation Therapy
NPI enumeratedDecember 29, 2017
Last updated in NPPESJune 28, 2024
Certification dateJune 28, 2024
Mailing address1001 N 500 W, Provo, UT 84604-3305

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