Leeann Isley

Individual provider Active NPI Recreation Therapist · Blissfield, MI

NPI 1639867161 · NPPES record last updated Apr 24, 2023

Key facts

NPI
1639867161
Entity type
Individual (NPI type 1)
Primary specialty
Recreation Therapist 225800000X
License
60717
Practice address
429 North St
Blissfield, MI 49228-1042
Phone
(517) 403-3408
NPI assigned
Apr 24, 2023
Sex
Female
Sole proprietor
Yes

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)CodeLicenseStatePrimary
Recreation Therapist 225800000X 60717 Yes

Addresses

Primary practice location

429 North St
Blissfield, MI 49228-1042

Mailing address

429 North St
Blissfield, MI 49228-1042
Phone (517) 403-3408

Other providers in Blissfield, MI

All providers in Blissfield, MI · Recreation Therapist in Michigan

Sources for this page

Verify at the official NPI Registry.