Individual
COURTNEY MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CTRS
Contact information
Practice address
1837 RYAN AVE NW, GRAND RAPIDS, MI 49534-2239
(616) 520-7183
Mailing address
1837 RYAN AVE NW, GRAND RAPIDS, MI 49534-2239
(616) 520-7183
Taxonomy
Speciality
Code
Description
License number
State
225800000X
Recreation Therapist
Primary
63262
MI
Other
Enumeration date
09/14/2016
Last updated
09/30/2025
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