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NPI Code Detail

MEDICARE: BREANNA EILEEN HATCH

MEDICARE: BREANNA EILEEN HATCH
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 Therapist14252330-4003UT

General Provider Information

NPI Number : 1336019322
Entity Type Code : Individual
Provider Name (Legal Business Name) : BREANNA EILEEN HATCH
Provider Business Mailing Address
First Line : 175 E 475 N
Second Line :
City : NORTH SALT LAKE
State : UT
Zip : 84054-2338
Country : US
Telephone Number : 425-551-9708
Fax Number :
Provider Business Practice Location Address
First Line : 835 E VINE ST
Second Line :
City : MURRAY
State : UT
Zip : 84107-6515
Country : US
Telephone Number : 801-693-3800
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/06/2025
Last Update Date : 11/06/2025

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Directions to “ BREANNA EILEEN HATCH ” Practice Location

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