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

Kelly Cousino, CTRS

Individual provider Contractor · NPI 1609904390

Kelly Cousino, CTRS is a Contractor in Detroit, Michigan. Registered with an NPI since 2007.

In the registry since
2007
Specialties on file
2
Claim this listing Report a problem Suggest an edit

Practice location Address checks out

4646 John R St Rm A5109
Detroit, MI 48201-1916
Phone: (313) 576-1217
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

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

Specialties & licences

Recreation Therapist (primary) Taxonomy 225800000X
Contractor Taxonomy 171W00000X

Record details

NPI number1609904390
Entity typeIndividual (Type 1)
GenderFemale
Credentials CTRS
Sole proprietorNo
NPI enumeratedMarch 2, 2007
Last updated in NPPESNovember 3, 2021
Certification dateJune 25, 2021

Other providers in Detroit