CALEB JOSEPH CAMPBELL CTRS NPI 1205582897

NPI Information

  • NPI: 1205582897
  • Provider Name: CALEB JOSEPH CAMPBELL, CTRS
  • Classification: Recreation Therapist - 225800000X
  • Entity Type: Individual
  • Address: 1500 N WESTWOOD BLVD
    POPLAR BLUFF, MO
    ZIP 63901
  • Phone: (618) 780-1091

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NPI Details

Caleb Joseph Campbell, CTRS is a recreation therapist in Poplar Bluff, MO. 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. Caleb Joseph Campbell, CTRS NPI is 1205582897. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1500 N WESTWOOD BLVD
POPLAR BLUFF, MO
ZIP 63901-318
Phone: (618) 780-1091

The enumeration date for this NPI number is 2/23/2022 and was last updated on 2/23/2022.

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
1225800000XRecreation 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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