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STACY RHOADES CRT

>> Recreation Therapist >> Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Registrant NPI Number: 1548671324

Individual Registrant:
 STACY  RHOADES CRT
Gender: F
Not Sole Proprietor

Location and contact information for practice:
1900 S LACHANCE RD  LAKE CITY, MI 49651-8022 US
Tel: 231-775-3081  Fax: 231-775-7740

Contact information for business:
1900 S LACHANCE RD  LAKE CITY, MI 49651-8022 US
Tel: 231-775-3081  Fax: 231-775-7740

Registration Information:
NPI: 1548671324
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y225800000XRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Recreation Therapist

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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