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

Maddison Dinneweth, CTRS

Individual provider Recreation Therapist · NPI 1063277283

Maddison Dinneweth, CTRS is a Recreation Therapist in Lake City, Michigan. Practices as a sole proprietor. Licensed in Michigan.

Licensed in
MI
In the registry since
2024

Practice location Address checks out

301 N Main St
Lake City, MI 49651-5102
Phone: (231) 295-1196
Show map & directions

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

Specialties & licences

Recreation Therapist (primary) Taxonomy 225800000X · Licence 85004 (MI)

Record details

NPI number1063277283
Entity typeIndividual (Type 1)
GenderFemale
Credentials CTRS
Sole proprietorYes
NPI enumeratedFebruary 16, 2024
Last updated in NPPESFebruary 16, 2024
Certification dateJanuary 30, 2024
Mailing address310 N Front, Lake City, MI 49651-9307

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