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

Shane Brooks, TRS, CTRS

Individual provider Recreational Therapist Assistant · NPI 1417774001

Shane Brooks, TRS, CTRS is a Recreational Therapist Assistant in West Jordan, Utah. Licensed in Utah. Registered with an NPI since 2024.

Licensed in
UT
In the registry since
2024

Practice location Address checks out

5500 W Bagley Park Rd
West Jordan, UT 84081-5697
Phone: (801) 282-1000
Show map & directions

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

Specialties & licences

Recreational Therapist Assistant (primary) Taxonomy 226000000X · Licence 12998539-4002 (UT)

Record details

NPI number1417774001
Entity typeIndividual (Type 1)
GenderMale
Credentials TRS , CTRS
Sole proprietorNo
NPI enumeratedSeptember 24, 2024
Last updated in NPPESSeptember 24, 2024
Certification dateSeptember 24, 2024