IndividualActive
Shelby Raymond
NPI 1952047847 · Recreation Therapist · Lake City, MI
Provider details
- NPI number
- 1952047847
- Entity type
- Individual
- Primary specialty
- Recreation TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Sex
- Female
- Sole proprietor
- No
- License
- 86207 (MI)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
301 N Main St
Lake City, MI 49651-5102
Phone: (231) 295-1196
Approximate (ZIP-level) locationGet directions
Mailing address
4249 E Herrick Rd
Clare, MI 48617-9325
Registry dates
- Enumerated
- 2022-05-12
- Last updated
- 2024-10-01
- Certified
- 2024-10-01
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.