IndividualActive
Brennan Carroll, CTRS
NPI 1124731625 · Recreation Therapist · Grand Rapids, MI
Provider details
- NPI number
- 1124731625
- Entity type
- Individual
- Primary specialty
- Recreation TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- CTRS
- Sex
- Male
- Sole proprietor
- No
- License
- 85823 (MI)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
4934 Luxemburg St Se
Grand Rapids, MI 49546-8406
Phone: (616) 215-0444
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 1053
Ada, MI 49301-1053
Registry dates
- Enumerated
- 2022-12-29
- Last updated
- 2022-12-29
- Certified
- 2022-12-29
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.