NPI 1013491273

Bridget Myke, CTRS

Practitioner Recreation Therapist Detroit, MI

Practice location

Address: 2925 Russell St, Detroit, MI 48207-4825
Phone: (313) 396-5300
Mailing address: 310 Hickory Dr, Troy, MI 48083-1620

Registered specialties (2)

Recreation Therapist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225800000X

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Case Manager/Care Coordinator

Other Service Providers Taxonomy 171M00000X

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Registry record

NPI: 1013491273
Entity type: Individual
Sex (as registered): Female
NPI issued: 23 Sep 2018
Record last updated: 23 Sep 2018

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.