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

Rachael Nicole Leece, CTRS, QIDP

Individual provider Recreation Therapist · NPI 1194355834

Rachael Nicole Leece, CTRS, QIDP is a Recreation Therapist in Grand Rapids, Michigan. Registered with an NPI since 2020.

In the registry since
2020
Specialties on file
2

Practice location Address checks out

790 Fuller Ave NE
Grand Rapids, MI 49503-1918
Phone: (616) 336-3909
Show map & directions

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

Specialties & licences

Case Manager/Care Coordinator (primary) Taxonomy 171M00000X
Recreation Therapist Taxonomy 225800000X

Record details

NPI number1194355834
Entity typeIndividual (Type 1)
GenderFemale
Credentials CTRS , QIDP
Sole proprietorNo
NPI enumeratedJanuary 22, 2020
Last updated in NPPESOctober 19, 2023
Certification dateOctober 19, 2023

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