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TRACI ANN SOULE CTRS
NPI 1548969082
Recreation Therapist in Portage, MI

Active since February 23, 2023
1032 RAINBOW AVE, PORTAGE, MI 49024(314) 369-2609 Get Directions Write a Review

NPPES record last updated: February 23, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Traci Ann Soule Ctrs NPPES

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

TRACI ANN SOULE CTRS (NPI 1548969082) is an individual recreation therapist in Portage, Michigan, licensed in New York (85396) and active in the NPI registry since February 2023.

NPPES Registry Identity

NPI1548969082
Entity TypeIndividualFemale
Primary Taxonomy225800000X
Provider Legal NameTRACI ANN SOULECredential: CTRS
Location Address1032 RAINBOW AVEPortage, MI 49024-3483
Mailing Address1032 Rainbow AvePortage, MI 49024-3483 · (314) 369-2609
Phone(314) 369-2609
Sole ProprietorYes
Enumeration DateFebruary 23, 2023
NPPES CertifiedFebruary 23, 2023
✔ NPI 1548969082 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
License✔ Licensed in NY · 85396
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.
1032 RAINBOW AVE, Portage, MI 49024
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Other Names 1

Former Name (1)Traci Ann Tibbetts

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 Traci Soule's NPI number?

The NPI number for Traci Soule is 1548969082. It was assigned to this individual provider in the NPPES registry on February 23, 2023. The provider is also known as Traci Ann Tibbetts.

Where is Traci Soule located?

Traci Soule practices at 1032 Rainbow Ave, Portage, MI 49024. The listed phone number is (314) 369-2609.

What is Traci Soule'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 Traci Soule was last updated on February 23, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.