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KELLY COUSINO CTRS
NPI 1609904390
Recreation Therapist in Detroit, MI

Active since March 02, 2007
4646 JOHN R ST RM A5109, DETROIT, MI 48201(313) 576-1217 Get Directions Write a Review

NPPES record last updated: November 3, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Kelly Cousino Ctrs NPPES

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

KELLY COUSINO CTRS (NPI 1609904390) is an individual recreation therapist in Detroit, Michigan and active in the NPI registry since March 2007.

NPPES Registry Identity

NPI1609904390
Entity TypeIndividualFemale
Primary Taxonomy225800000X
Provider Legal NameKELLY COUSINOCredential: CTRS
Location Address4646 JOHN R ST RM A5109Detroit, MI 48201-1916
Mailing Address4646 John R St Rm A5109Detroit, MI 48201-1916 · (133) 576-1217
Phone(313) 576-1217
Sole ProprietorNo
Enumeration DateMarch 2, 2007
Last NPPES UpdateNovember 3, 2021
NPPES CertifiedJune 25, 2021
✔ NPI 1609904390 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ 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.
Also ListedContractorTaxonomy 171W00000X
4646 JOHN R ST RM A5109, Detroit, MI 48201
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Other Providers at the Same Location NPPES

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

CARRIE ANN DROBEK CTRS
Recreation Therapist
4646 JOHN R ST RM A5109
DETROIT, MI 48201
Wayne County (313) 576-4760

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 Kelly Cousino's NPI number?

The NPI number for Kelly Cousino is 1609904390. It was assigned to this individual provider in the NPPES registry on March 2, 2007.

Where is Kelly Cousino located?

Kelly Cousino practices at 4646 John R St Rm A5109, Detroit, MI 48201. The listed phone number is (313) 576-1217.

What is Kelly Cousino'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 Kelly Cousino was last updated on November 3, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.