Individual provider · Type 1 NPI

Michelle Amber Peterson, CTRS

Recreation Therapist · Philadelphia, PA

NPI number 1801745153 Active

Practice location

3461 Civic Center Blvd
Philadelphia, PA 19104-4302

Mailing address

309 Summit Ave
Jenkintown, PA 19046-3135

Specialties and licenses

TaxonomyCodeLicense
Recreation Therapist Primary 225800000XNone listed

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.

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About NPI 1801745153

Michelle Amber Peterson, CTRS's National Provider Identifier is 1801745153, issued on Jan 28, 2026. The primary taxonomy on file is Recreation Therapist (225800000X), and the practice location is in Philadelphia, PA. The record was last updated on Jan 28, 2026.