Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KAYLA VANDENBOOM, CTRS
Active Sole ProprietorKAYLA VANDENBOOM, CTRS is a Recreation Therapist healthcare provider located in REESE, Michigan. NPI 1720522121 is currently active in the NPPES registry. Verify at CMS.
Recreation Therapist · REESE, MI
Registration Details
- NPI Number
- 1720522121
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Dec 5, 2016 (9.7239716998981 yrs)
- Last Updated
- Dec 5, 2016
- License
-
59652 (MI)
- Sole Proprietor
- Yes
Practice Information
- Address
-
9948 CENTER STREESE, MI, 487579547Browse MI providers · Browse ZIP 48757
- Phone
- 9892970042
- Primary Specialty
-
Recreation Therapist
225800000X
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.