KELLE MALKEWITZ CTRS NPI 1902548019

NPI Information

NPI: 1902548019
Provider Name: KELLE MALKEWITZ, CTRS
Classification: Recreation Therapist - 225800000X
Entity Type: Individual
Address: 2854 HIGHLAND GRAY RD
POULTNEY, VT
ZIP 05764
Phone: (802) 287-9610

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NPI Details

Kelle Malkewitz, CTRS is a recreation therapist in Poultney, VT. 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. Kelle Malkewitz, CTRS NPI is 1902548019. 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:

2854 HIGHLAND GRAY RD
POULTNEY, VT
ZIP 05764-124
Phone: (802) 287-9610

The enumeration date for this NPI number is 4/9/2022 and was last updated on 4/9/2022.

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
1	225800000X	Recreation Therapist		23309	VERMONT	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	23309	OTHER		NATIONAL COUNCIL FOR THERAPEUTIC RECREATION CERTIFICATION

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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