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AMANDA POVLOCK CTRS
NPI 1780159053
Recreation Therapist in Paw Paw, MI

Active since October 12, 2018
43815 40TH ST, PAW PAW, MI 49079(269) 903-6584 Get Directions Write a Review

NPPES record last updated: April 4, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 4, 2024, Oct 12, 2018 (2 updates tracked since 2018).

About Amanda Povlock Ctrs NPPES

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

AMANDA POVLOCK CTRS (NPI 1780159053) is an individual recreation therapist in Paw Paw, Michigan and active in the NPI registry since October 2018.

NPPES Registry Identity

NPI1780159053
Entity TypeIndividualFemale
Primary Taxonomy225800000X
Provider Legal NameAMANDA POVLOCKCredential: CTRS
Location Address43815 40TH STPaw Paw, MI 49079-9673
Mailing Address43815 40th StPaw Paw, MI 49079-9673 · (269) 903-6584
Phone(269) 903-6584
Sole ProprietorNo
Enumeration DateOctober 12, 2018
Last NPPES UpdateApril 4, 20242 updates tracked since enumeration
NPPES CertifiedApril 4, 2024
✔ NPI 1780159053 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 ListedBehavior TechnicianTaxonomy 106S00000X
43815 40TH ST, Paw Paw, MI 49079
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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 Amanda Povlock's NPI number?

The NPI number for Amanda Povlock is 1780159053. It was assigned to this individual provider in the NPPES registry on October 12, 2018.

Where is Amanda Povlock located?

Amanda Povlock practices at 43815 40th St, Paw Paw, MI 49079. The listed phone number is (269) 903-6584.

What is Amanda Povlock'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 Amanda Povlock was last updated on April 4, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.