MRS. STACEY LYNNE GRODY CTRS NPI 1619413481

NPI Information

NPI: 1619413481
Provider Name: MRS. STACEY LYNNE GRODY, CTRS
Classification: Recreation Therapist - 225800000X
Entity Type: Individual
Address:
1490 EAST BELTLINE AVE SE
GRAND RAPIDS, MI
ZIP 49506
Phone: (616) 940-0040
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MRS. Stacey Lynne Grody, CTRS is a recreation therapist in Grand Rapids, MI. The provider is a recreation therapist uses recreational activities for intervention in some physical, social or emotional behavior to bring about a desired change in that behavior and promote the growth and development of the patient. MRS. Stacey Lynne Grody, CTRS NPI is 1619413481. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1490 EAST BELTLINE AVE SE
GRAND RAPIDS, MI
ZIP 49506
Phone: (616) 940-0040

The enumeration date for this NPI number is 1/17/2017 and was last updated on 11/4/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	225800000X	Recreation Therapist		45840	MICHIGAN	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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