KAYLA VANDENBOOM (NPI# 1720522121) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720522121 |
| Entity Type | Individual |
| Full Name | KAYLA VANDENBOOM |
| Credential | CTRS |
| Practice Address |
9948 Center St Reese MI 48757-9547 |
| Practice Telephone | 9892970042 |
| Enumeration Date | 2016-12-05 |
| Last Update Date | 2016-12-05 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225800000X | Recreation Therapist | 59652 | MI | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
9948 CENTER ST |
| City | REESE |
| State | MI |
| Zip Code | 48757-9547 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043351364 | Manley's Pharmacy, Inc. | Pharmacy | 9894 Saginaw St, Reese, MI 48757-9401 | 2007-02-09 |
| 1942360391 | Michael Patrick Dee | Dentist | 1904 East St, Reese, MI 48757-9440 | 2006-12-08 |
| 1548306988 | Reese Family Dentistry | Dentist | 1904 East St, Reese, MI 48757-9440 | 2007-01-30 |
| 1447752704 | Tammy Jean Card | Licensed Practical Nurse | 7800 Van Geisen Rd, Reese, MI 48757-9529 | 2018-03-02 |
| 1528026663 | George John Gugino | General Practice | 1941 Gates St, Reese, MI 48757-9555 | 2006-05-01 |
| 1841525086 | George J Gugino Md PC | General Practice | 1941 Gates St, Reese, MI 48757-9555 | 2009-10-06 |
| 1639594948 | Tina Beyerlein | Occupational Therapist | 3165 N Gera Rd, Reese, MI 48757-9704 | 2014-02-24 |
| 1881678407 | Scott Mcdougall | Family Medicine | 12675 E Washington Rd, Reese, MI 48757-9714 | 2005-12-06 |
| 1033157789 | Scott C Mcdougall Do LLC | Family Medicine | 12675 E Washington Rd, Reese, MI 48757-9714 | 2006-06-03 |
| 1225149305 | Saginaw Physical Therapy and Rehab Specialists LLC | Physical Therapist | 12729 E Washington Rd, Ste 2, Reese, MI 48757-9722 | 2006-08-31 |
| Find all providers in zip 48757 | ||||
| Taxonomy Code | 225800000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Recreation Therapist |
| A recreation therapist uses recreational activities for intervention in some physical, social or emotional behavior to bring about a desired change in that behavior and promote the growth and development of the patient. |
| Notes: Source: Joel A. DeLisa and Bruce M. Gans, Rehabilitation Medicine: Principles and Practice Second Edition, J.B. Lippincott Company, Philadelphia: 1993, p. 7 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861006728 | Tara Ann Fedewa | Recreation Therapist | 915 Laurelwood Dr, Lansing, MI 48917-7725 | 2020-09-08 |
| 1225651714 | Caroline Rose Marcon | Recreation Therapist | 15227 Payne Ct, Dearborn, MI 48126-3030 | 2020-05-19 |
| 1205469897 | Megan Groat | Recreation Therapist | 914 Lake Dr, Oxford, MI 48371-5716 | 2020-02-21 |
| 1215560040 | Ashley Melyn Phelps | Recreation Therapist | 6714 Northland Dr Ne, Rockford, MI 49341-9201 | 2020-02-20 |
| 1538708680 | Caylie Hosey | Recreation Therapist | 54749 Flamingo Dr, Shelby Twp, MI 48315-1347 | 2020-01-06 |
| 1205480472 | Keilahna Castillo | Recreation Therapist | 4476 Versatile Ct Sw, Wyoming, MI 49418-8773 | 2019-07-26 |
| 1134789514 | Cynthia Guzi | Recreation Therapist | 4469 Lutz Dr, Warren, MI 48092-1750 | 2019-06-18 |
| 1780244160 | Derenda Lefevre | Recreation Therapist | 3724 Noble Rd, Oxford, MI 48370-1514 | 2019-06-18 |
| 1407416886 | Jenna Black | Recreation Therapist | 28328 N Skye Dr, Farmington Hills, MI 48334-5335 | 2019-06-18 |
| 1225698608 | Carly Jane Rhodea | Recreation Therapist | 6906 Severance Rd, Cass City, MI 48726-9202 | 2019-06-18 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.