Individual provider · Type 1 NPI
Samantha Jacklyn Mahon, CTRS
Recreation Therapist · Traverse City, MI
NPI number
1255286795
Active
Practice location
610 Woodmere Ave
Traverse City, MI 49686-3103
Mailing address
106 Ringneck Ln
Buckley, MI 49620-9477
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Recreation Therapist Primary | 225800000X | 85003 (MI) |
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.
About NPI 1255286795
Samantha Jacklyn Mahon, CTRS's National Provider Identifier is 1255286795, issued on Mar 2, 2026. The primary taxonomy on file is Recreation Therapist (225800000X), and the practice location is in Traverse City, MI. The record was last updated on Mar 2, 2026.