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

Cassidy T Immak

Individual provider Recreation Therapist · NPI 1063221265

Cassidy T Immak is a Recreation Therapist in Roy, Utah. Registered with an NPI since 2025.

In the registry since
2025

Practice location Address checks out

2700 W 5600 S
Roy, UT 84067-1372
Phone: (385) 380-9697
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 number1063221265
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJanuary 2, 2025
Last updated in NPPESJanuary 2, 2025
Certification dateJanuary 2, 2025
Mailing address2700 W 5600 S, Roy, UT 84067-1372

Other providers in Roy