MEDICARE: JOYLYNN MATHESON

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
1	225800000X	Recreation Therapist	224486-4003	UT

General Provider Information

NPI Number	:	1699529461
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JOYLYNN MATHESON

Provider Business Mailing Address
First Line	:	PO BOX 1172
Second Line	:
City	:	PAROWAN
State	:	UT
Zip	:	84761-1172
Country	:	US
Telephone Number	:	435-590-3240
Fax Number	:

Provider Business Practice Location Address
First Line	:	333 W 1425 N
Second Line	:
City	:	CEDAR CITY
State	:	UT
Zip	:	84721-8872
Country	:	US
Telephone Number	:	435-267-1700
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/16/2024
Last Update Date	:	04/16/2024

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Directions to “ JOYLYNN MATHESON ” Practice Location

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