Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
TRACI ANN SOULE, CTRS
Active Sole ProprietorTRACI ANN SOULE, CTRS is a Recreation Therapist healthcare provider located in PORTAGE, Michigan. NPI 1548969082 is currently active in the NPPES registry. Verify at CMS.
Recreation Therapist · PORTAGE, MI
Registration Details
- NPI Number
- 1548969082
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Feb 23, 2023 (3.6744802686311 yrs)
- Last Updated
- Feb 23, 2023
- License
-
85396 (NY)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1032 RAINBOW AVEPORTAGE, MI, 490243483Browse MI providers · Browse ZIP 49024
- Phone
- 3143692609
- Primary Specialty
-
Recreation Therapist
225800000X
- Additional Specialty
- Recreation Therapist
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.