Individual provider · Type 1 NPI

Thea Carolyn Kavanaugh

Recreation Therapist · Las Cruces, NM

NPI number 1003635517 Active

Practice location

4527 Galisteo Loop
Las Cruces, NM 88011-4301

Specialties and licenses

TaxonomyCodeLicense
Health Educator 174H00000XNone listed
Recreation Therapist Primary 225800000XNone listed

Recreation Therapist: A recreation therapist uses recreational activities for intervention in some physical, social or emotional behavior to bring about a desired change in that behavior and promote the growth and development of the patient.

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About NPI 1003635517

Thea Carolyn Kavanaugh's National Provider Identifier is 1003635517, issued on Oct 10, 2024. The primary taxonomy on file is Recreation Therapist (225800000X), and the practice location is in Las Cruces, NM. The record was last updated on Oct 10, 2024.