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

Samantha Jacklyn Mahon, CTRS

Individual provider Recreation Therapist · NPI 1255286795

Samantha Jacklyn Mahon, CTRS is a Recreation Therapist in Traverse City, Michigan. Licensed in Michigan. Registered with an NPI since 2026.

Licensed in
MI
In the registry since
2026

Practice location Address checks out

610 Woodmere Ave
Traverse City, MI 49686-3103
Phone: (231) 735-3095
Show map & directions

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

Specialties & licences

Recreation Therapist (primary) Taxonomy 225800000X · Licence 85003 (MI)

Record details

NPI number1255286795
Entity typeIndividual (Type 1)
GenderFemale
Credentials CTRS
Sole proprietorNo
NPI enumeratedMarch 2, 2026
Last updated in NPPESMarch 2, 2026
Certification dateMarch 1, 2026