Individual provider · NPI-1
Nikki Marie Abbott, CTRS
Recreation Therapist · Comstock Park, MI
NPI number1184294282
StatusActive
Last updated in NPPESJun 30, 2021
Details
- NPI
- 1184294282
- Entity type
- Individual (NPI-1)
- Name
- Nikki Marie Abbott
- Credential
- CTRS
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jun 30, 2021
- Certification date
- Jun 30, 2021
- Last updated
- Jun 30, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225800000X | Recreation Therapist | 82808 | MI | Yes |
Practice location
4837 Kittery St NwComstock Park, MI 49321-9305
Phone 616-334-0984
Mailing address
4837 Kittery St NwComstock Park, MI 49321-9305
Phone 616-334-0984
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