Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jenna Black, CTRS, CBISATRIC

Individual provider Recreation Therapist · NPI 1407416886

Jenna Black, CTRS, CBISATRIC is a Recreation Therapist in Farmington Hills, Michigan. Practices as a sole proprietor. Registered with an NPI since 2019.

In the registry since
2019

Practice location Address checks out

28328 N Skye Dr
Farmington Hills, MI 48334-5335
Phone: (586) 709-8966
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Recreation Therapist (primary) Taxonomy 225800000X

Record details

NPI number1407416886
Entity typeIndividual (Type 1)
GenderFemale
Credentials CTRS , CBISATRIC
Sole proprietorYes
NPI enumeratedJune 18, 2019
Last updated in NPPESJune 18, 2019

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