IndividualActive
Christine Shanahan
NPI 1265829980 · Recreation Therapist · Grand Rapids, MI
Provider details
- NPI number
- 1265829980
- Entity type
- Individual
- Primary specialty
- Recreation TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Sex
- Female
- Sole proprietor
- Yes
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
3492 Lake Dr Se
Grand Rapids, MI 49546-4338
Phone: (616) 957-4057
Approximate (ZIP-level) locationGet directions
Mailing address
3492 Lake Dr Se
Grand Rapids, MI 49546-4338
Registry dates
- Enumerated
- 2015-04-21
- Last updated
- 2015-04-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.