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

Chalise Petersen

Individual provider Recreation Therapist · NPI 1659172096

Chalise Petersen is a Recreation Therapist in Hurricane, Utah. Licensed in Utah. Registered with an NPI since 2025.

Licensed in
UT
In the registry since
2025

Practice location Address checks out

65 N 1150 W
Hurricane, UT 84737-2062
Phone: (435) 879-7677
Show map & directions

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

Specialties & licences

Recreation Therapist (primary) Taxonomy 225800000X · Licence 14208038-4003 (UT)

Record details

NPI number1659172096
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMarch 21, 2025
Last updated in NPPESMarch 21, 2025
Certification dateMarch 21, 2025
Mailing address5500 Ming Ave Ste 410, Bakersfield, CA 93309-4631

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