NPI 1225543689

Nicole Thomas, CTRS

Practitioner Recreation Therapist Grand Rapids, MI

Practice location

Address: 4934 Luxemburg St SE, Grand Rapids, MI 49546-8406
Phone: (616) 828-5492
Fax: (855) 206-3270
Mailing address: PO Box 1053, Ada, MI 49301-1053

Registered specialties

Recreation Therapist Primary

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

Other Recreation Therapist providers in Michigan →

Registry record

NPI: 1225543689
Entity type: Individual
Sex (as registered): Female
NPI issued: 7 Dec 2017
Record last updated: 7 Dec 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.