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

Jenna Lynn Moore, CTRS

Individual provider Recreation Therapist · NPI 1487599940

Jenna Lynn Moore, CTRS is a Recreation Therapist in Ypsilanti, Michigan. Works from 2 locations. Licensed in Michigan.

Licensed in
MI
In the registry since
2026

Practice location Address checks out

7794 Paint Creek Dr
Ypsilanti, MI 48197-6139
Phone: (734) 352-3543
Show map & directions

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

Additional practice locations (1)

  • 3588 Plymouth Rd # 393, Ann Arbor, MI 48105-2603 — (734) 352-3543

Specialties & licences

Recreation Therapist (primary) Taxonomy 225800000X · Licence 88791 (MI)

Record details

NPI number1487599940
Entity typeIndividual (Type 1)
GenderMale
Credentials CTRS
Sole proprietorNo
NPI enumeratedApril 21, 2026
Last updated in NPPESApril 21, 2026
Certification dateApril 21, 2026

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