NICOLE STUDEBAKER CTRS NPI 1053859165

NPI Information

  • NPI: 1053859165
  • Provider Name: NICOLE STUDEBAKER, CTRS
  • Classification: Recreation Therapist - 225800000X
  • Entity Type: Individual
  • Address: 35514 INDIGO DR
    STERLING HEIGHTS, MI
    ZIP 48310
  • Phone: (586) 979-8118

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NPI Details

Nicole Studebaker, CTRS is a recreation therapist in Sterling Heights, 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. Nicole Studebaker, CTRS NPI is 1053859165. 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:

35514 INDIGO DR
STERLING HEIGHTS, MI
ZIP 48310-946
Phone: (586) 979-8118
Fax: (586) 979-8118

The enumeration date for this NPI number is 2/9/2017 and was last updated on 2/9/2017.

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
1174400000XSpecialistNo
2225800000XRecreation TherapistYes

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: 11/21/2025

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