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NPI Code Detail

MEDICARE: HEIDI ROBINSON TRT

MEDICARE:   HEIDI  ROBINSON  TRT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225800000XRecreation Therapist279681-4003UT

General Provider Information

NPI Number : 1396612636
Entity Type Code : Individual
Provider Name (Legal Business Name) : HEIDI ROBINSON TRT
Provider Business Mailing Address
First Line : 2200 E 3300 S
Second Line :
City : SALT LAKE CITY
State : UT
Zip : 84109-2635
Country : US
Telephone Number : 801-486-2096
Fax Number :
Provider Business Practice Location Address
First Line : 2200 E 3300 S
Second Line :
City : SALT LAKE CITY
State : UT
Zip : 84109-2635
Country : US
Telephone Number : 801-486-2096
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/21/2025
Last Update Date : 10/21/2025

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Directions to “ HEIDI ROBINSON TRT” Practice Location

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