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

Summer Alyse Broeker

Individual provider Recreation Therapist · NPI 1174498109

Summer Alyse Broeker is a Recreation Therapist in Provo, Utah. Licensed in Utah. Registered with an NPI since 2025.

Licensed in
UT
In the registry since
2025

Practice location Address checks out

1001 N 500 W
Provo, UT 84604-3305
Phone: (801) 377-9661
Show map & directions

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

Specialties & licences

Recreation Therapist (primary) Taxonomy 225800000X · Licence 14245436-4003 (UT)

Record details

NPI number1174498109
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedOctober 8, 2025
Last updated in NPPESOctober 8, 2025
Certification dateOctober 8, 2025

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