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

Jacqueline N Wilson

Individual provider Recreation Therapist · NPI 1437041928

Jacqueline N Wilson is a Recreation Therapist in Lake Point, Utah. Practices as a sole proprietor. Registered with an NPI since 2025.

In the registry since
2025

Practice location Address checks out

8171 N Iron Horse Dr
Lake Point, UT 84074-3496
Phone: (208) 881-2058
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 number1437041928
Entity typeIndividual (Type 1)
GenderNot disclosed
Sole proprietorYes
NPI enumeratedJuly 17, 2025
Last updated in NPPESJuly 17, 2025
Certification dateJuly 17, 2025
Mailing address8171 N Iron Horse Dr, Lake Point, UT 84074-3496

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