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

Mrs. Stacey Lynne Grody, CTRS

Individual provider Recreation Therapist · NPI 1619413481

Mrs. Stacey Lynne Grody, CTRS is a Recreation Therapist in Grand Rapids, Michigan. Licensed in Michigan. Registered with an NPI since 2017.

Licensed in
MI
In the registry since
2017

Practice location Address checks out

1490 E Beltline Ave SE
Grand Rapids, MI 49506
Phone: (616) 940-0040
Show map & directions

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

Specialties & licences

Recreation Therapist (primary) Taxonomy 225800000X · Licence 45840 (MI)

Record details

NPI number1619413481
Entity typeIndividual (Type 1)
GenderFemale
Credentials CTRS
Sole proprietorNo
NPI enumeratedJanuary 17, 2017
Last updated in NPPESNovember 4, 2020
Certification dateNovember 4, 2020

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