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

Mr. Gregory Mark Rostker, CTRS

Individual provider Recreation Therapist · NPI 1720716699

Mr. Gregory Mark Rostker, CTRS is a Recreation Therapist in Walled Lake, Michigan. Practices as a sole proprietor. Licensed in Michigan.

Licensed in
MI
In the registry since
2022

Practice location Address checks out

1594 Beachwood Dr
Walled Lake, MI 48390-5881
Phone: (248) 910-7425
Show map & directions

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

Specialties & licences

Recreation Therapist (primary) Taxonomy 225800000X · Licence 24125 (MI)

Record details

NPI number1720716699
Entity typeIndividual (Type 1)
GenderMale
Credentials CTRS
Sole proprietorYes
NPI enumeratedAugust 9, 2022
Last updated in NPPESAugust 9, 2022
Certification dateAugust 9, 2022
Mailing address1594 Beachwood Dr, Walled Lake, MI 48390-5881

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