KENDRA ETTEMA CTRS MDIV NPI 1639845357

NPI Information

NPI: 1639845357
Provider Name: KENDRA ETTEMA, CTRS, MDIV
Classification: Recreation Therapist - 225800000X
Entity Type: Individual
Address:
38257 MOUND RD BLDG D
STERLING HEIGHTS, MI
ZIP 48310
Phone: (586) 722-7524
Get Directions

Kendra Ettema, CTRS, MDIV 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. Kendra Ettema, CTRS, MDIV NPI is 1639845357. The provider is registered as an individual entity type and is a single specialty group.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

38257 MOUND RD BLDG D
STERLING HEIGHTS, MI
ZIP 48310-466
Phone: (586) 722-7524

The enumeration date for this NPI number is 8/22/2021 and was last updated on 8/22/2021.

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		59050	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: 5/5/2024

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

« Previous NPI

Next NPI »