Individual provider · Type 1 NPI
Jessica Rudebock, CTRS
Recreation Therapist · West Bloomfield, MI
NPI number
1538075965
Active
Practice location
1797 Poppleton Dr
West Bloomfield, MI 48324-1148
Mailing address
3588 Plymouth Rd # 393
Ann Arbor, MI 48105-2603
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Recreation Therapist Primary | 225800000X | 87531 (OH) |
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.
Another provider at this address
Other recreation therapist providers in West Bloomfield
About NPI 1538075965
Jessica Rudebock, CTRS's National Provider Identifier is 1538075965, issued on Aug 24, 2026. The primary taxonomy on file is Recreation Therapist (225800000X), and the practice location is in West Bloomfield, MI. The record was last updated on Aug 24, 2026.