NPI 1104364793

Shanon Haskins

Practitioner Recreation Therapist Grand Rapids, MI

Practice location

Address: 1490 E Beltline Ave SE, Grand Rapids, MI 49506-4336
Phone: (616) 940-0040
Mailing address: 3320 Pine Meadow Dr SE APT 103, Kentwood, MI 49512-3079

Registered specialties

Recreation Therapist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225800000X Licence 56956 (MI)

Other Recreation Therapist providers in Michigan →

Registry record

NPI: 1104364793
Entity type: Individual
Sex (as registered): Female
NPI issued: 3 Feb 2017
Record last updated: 3 Feb 2017

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.