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Contact Information

EMILY M CARLISLE
1001 N 500 W
PROVO, UT84604-3305
 Phone: 505-435-5883
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Recreation Therapist

225800000X
Indicates primary specialty

NPI Profile & details for EMILY M CARLISLE · (Female)

NPI # 1285455014
Status Active
Credentials
Entity Individual
Enumeration date 10/23/2024
Last updated 10/23/2024 - More than a year ago
Sole proprietor 1 No
Identifiers
  • UT License # 14187812-4003
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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