Individual
RILEY KANGAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CTRS
Contact information
Practice address
3200 E EISENHOWER PKWY, ANN ARBOR, MI 48108-3231
(734) 677-0070
Mailing address
3200 E EISENHOWER PKWY, ANN ARBOR, MI 48108-3231
Taxonomy
Speciality
Code
Description
License number
State
225800000X
Recreation Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1558544130
—
MI
Enumeration date
09/01/2022
Last updated
09/01/2022
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