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

Mr. Marvin John Theile, CTRS

Individual provider Recreation Therapist · NPI 1689835126

Mr. Marvin John Theile, CTRS is a Recreation Therapist in Detroit, Michigan. Licensed in Michigan. Registered with an NPI since 2008.

Licensed in
MI
In the registry since
2008

Practice location Address checks out

4646 John R St
Detroit, MI 48201-1916
Phone: (313) 576-1000
Fax: (313) 576-1246
Show map & directions

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

Specialties & licences

Recreation Therapist (primary) Taxonomy 225800000X · Licence 24322 (MI)

Record details

NPI number1689835126
Entity typeIndividual (Type 1)
GenderMale
Credentials CTRS
Sole proprietorNo
NPI enumeratedJune 18, 2008
Last updated in NPPESJune 18, 2008

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