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

Angel Glade

Individual provider Recreation Therapist · NPI 1225883887

Angel Glade is a Recreation Therapist in Holladay, Utah. Licensed in Utah. Registered with an NPI since 2024.

Licensed in
UT
In the registry since
2024

Practice location Address checks out

4782 S Holladay Blvd
Holladay, UT 84117-5444
Phone: (385) 465-9002
Show map & directions

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

Specialties & licences

Recreation Therapist (primary) Taxonomy 225800000X · Licence 13325087-4003 (UT)

Record details

NPI number1225883887
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedApril 18, 2024
Last updated in NPPESApril 18, 2024
Certification dateApril 18, 2024
Mailing address4782 S Holladay Blvd, Holladay, UT 84117-5444

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