Jade M Ibarra
Jade M Ibarra is a Recreation Therapist in South Salt Lake, Utah. Practices as a sole proprietor. Licensed in Utah.
- Licensed in
- UT
- In the registry since
- 2024
Practice location Address checks out
2472 S 300 ESouth Salt Lake, UT 84115-2895
Phone: (801) 466-2211
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Recreation Therapist (primary) | Taxonomy 225800000X · Licence 13341839-4003 (UT) |
|---|
Record details
| NPI number | 1801653068 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | March 4, 2024 |
| Last updated in NPPES | March 4, 2024 |
| Certification date | March 4, 2024 |
| Mailing address | 2472 S 300 E, South Salt Lake, UT 84115-2895 |
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Brittney Wise Gonzalez
2472 S 300 E, South Salt Lake, UT 84115-2895 · (801) 466-2211