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CHRISTINE SHANAHAN
NPI 1265829980
Recreation Therapist in Grand Rapids, MI

Active since April 21, 2015
3492 LAKE DR SE, GRAND RAPIDS, MI 49546(616) 957-4057 Get Directions Write a Review

NPPES record last updated: April 21, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Christine Shanahan NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CHRISTINE SHANAHAN (NPI 1265829980) is an individual recreation therapist in Grand Rapids, Michigan and active in the NPI registry since April 2015.

NPPES Registry Identity

NPI1265829980
Entity TypeIndividualFemale
Primary Taxonomy225800000X
Provider Legal NameCHRISTINE SHANAHAN
Location Address3492 LAKE DR SEGrand Rapids, MI 49546-4338
Mailing Address3492 Lake Dr SeGrand Rapids, MI 49546-4338
Phone(616) 957-4057
Sole ProprietorYes
Enumeration DateApril 21, 2015
✔ NPI 1265829980 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRecreation TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225800000X
Definition
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.
3492 LAKE DR SE, Grand Rapids, MI 49546
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

NEDILA K MAJOR-BABCOCK LPN
Licensed Practical Nurse
3492 LAKE DR SE
GRAND RAPIDS, MI 49546
Kent County (616) 957-4057
ANDREW NOVAK
Rehabilitation Practitioner
3492 LAKE DR SE
GRAND RAPIDS, MI 49546
Kent County (616) 957-4057
HOPE NETWORK REHABILITATION SERVICES
Foster Care Agency
3492 LAKE DR SE
GRAND RAPIDS, MI 49546
Kent County (616) 957-4057
DANTE N/A BERMEJO RONQUILLO
Technician (Personal Care Attendant)
3492 LAKE DR SE
GRAND RAPIDS, MI 49546
Kent County (855) 407-7575
LATAYA M DULEY-DAVIS
Technician (Personal Care Attendant)
3492 LAKE DR SE
GRAND RAPIDS, MI 49546
Kent County (616) 957-4057
CASSANDRA JEAN FASE
Rehabilitation Practitioner
3492 LAKE DR SE
GRAND RAPIDS, MI 49546
Kent County (616) 957-4057
AMBER RANDALL
Technician (Personal Care Attendant)
3492 LAKE DR SE
GRAND RAPIDS, MI 49546
Kent County (616) 248-5100
ALONDRA SOTO
Technician
3492 LAKE DR SE
GRAND RAPIDS, MI 49546
Kent County (405) 761-6975

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Christine Shanahan's NPI number?

The NPI number for Christine Shanahan is 1265829980. It was assigned to this individual provider in the NPPES registry on April 21, 2015.

Where is Christine Shanahan located?

Christine Shanahan practices at 3492 Lake Dr SE, Grand Rapids, MI 49546. The listed phone number is (616) 957-4057.

What is Christine Shanahan's specialty?

The primary specialty registered for this NPI is Recreation Therapist with taxonomy code 225800000X.

When was this NPI record last updated?

The NPPES record for Christine Shanahan was last updated on April 21, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.