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

Mr. Jerry Tyrone Lemelle, CTRS

Individual provider Recreation Therapist · NPI 1518580414

Mr. Jerry Tyrone Lemelle, CTRS is a Recreation Therapist in San Antonio, Texas. Registered with an NPI since 2020.

In the registry since
2020

Practice location Address checks out

4455 Horizon Hill Blvd
San Antonio, TX 78229-2258
Phone: (337) 794-8715
Show map & directions

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

Specialties & licences

Recreation Therapist (primary) Taxonomy 225800000X · Licence 26454

Record details

NPI number1518580414
Entity typeIndividual (Type 1)
GenderMale
Credentials CTRS
Sole proprietorNo
NPI enumeratedMay 26, 2020
Last updated in NPPESMay 26, 2020
Certification dateMay 26, 2020

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