Healthcare Provider Details

I. General information

NPI: 1003728072
Provider Name (Legal Business Name): CHELSEA DEL TORO
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/22/2026
Last Update Date: 09/22/2026
Certification Date: 09/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1032 E 100 S
SAINT GEORGE UT
84770-3005
US

IV. Provider business mailing address

742 N 1800 E
SAINT GEORGE UT
84770-8684
US

V. Phone/Fax

Practice location:
  • Phone: 435-628-0488
  • Fax:
Mailing address:
  • Phone: 435-817-5779
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225800000X
TaxonomyRecreation Therapist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: