Samantha Lee Garcia
Individual provider Active NPI Recreation Therapist · Croswell, MI
NPI 1639745847 · NPPES record last updated May 28, 2021
Key facts
- NPI
- 1639745847
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Recreation Therapist 225800000X
- Practice address
- 3450 Mortimer Line Rd
Croswell, MI 48422-8740 - Phone
- (810) 304-1622
- NPI assigned
- May 28, 2021
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Recreation Therapist | 225800000X | Yes |
Addresses
Primary practice location
3450 Mortimer Line Rd
Croswell, MI 48422-8740
Mailing address
3450 Mortimer Line Rd
Croswell, MI 48422-8740
Other providers in Croswell, MI
- Ehardt'S Advanced Care Pharmacy & Medical Supplies
- Ehardt'S Pharmacy Inc
- Raymond J Emond
- Carissa Fenner
- Maija Matintytar Fenner
- Patrick Gonczar
- Julie Gordon
- Matthew Gormley
- Madison Griffith
- Corrine Holsbeke
All providers in Croswell, MI · Recreation Therapist in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 28, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.