NPI 1124731625

Brennan P Carroll, CTRS

Practitioner Recreation Therapist Grand Rapids, MI

Practice location

Address: 4934 Luxemburg St SE, Grand Rapids, MI 49546-8406
Phone: (616) 215-0444
Mailing address: PO Box 1053, Ada, MI 49301-1053

Registered specialties

Recreation Therapist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225800000X Licence 85823 (MI)

Other Recreation Therapist providers in Michigan →

Registry record

NPI: 1124731625
Entity type: Individual
Sex (as registered): Male
NPI issued: 29 Dec 2022
Record last updated: 29 Dec 2022

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.