Individual provider · Type 1 NPI

Summer Alyse Broeker

Recreation Therapist · Provo, UT

NPI number 1174498109 Active

Practice location

1001 N 500 W
Provo, UT 84604-3305

Call (801) 377-9661 Map

Mailing address

724 S 1700 W
Payson, UT 84651-5747

Specialties and licenses

TaxonomyCodeLicense
Recreation Therapist Primary 225800000X14245436-4003 (UT)

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 1174498109

Summer Alyse Broeker's National Provider Identifier is 1174498109, issued on Oct 8, 2025. The primary taxonomy on file is Recreation Therapist (225800000X), and the practice location is in Provo, UT. The record was last updated on Oct 8, 2025.