Individual provider · Type 1 NPI
Melissa Anne Puckett, MS
Recreation Therapist · Menlo Park, CA
NPI number
1356562797
Active
Practice location
795 Willow Rd
Menlo Park, CA 94025-2539
Mailing address
14395 W Park Ave
Boulder Creek, CA 95006-9304
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Recreation Therapist Primary | 225800000X | None 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 1356562797
Melissa Anne Puckett, MS's National Provider Identifier is 1356562797, issued on May 2, 2007. The primary taxonomy on file is Recreation Therapist (225800000X), and the practice location is in Menlo Park, CA. The record was last updated on Jul 8, 2007.