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

Traci Ann Soule, CTRS

Individual provider Recreation Therapist · NPI 1548969082

Traci Ann Soule, CTRS is a Recreation Therapist in Portage, Michigan. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2023
Specialties on file
2

Practice location Address checks out

1032 Rainbow Ave
Portage, MI 49024-3483
Phone: (314) 369-2609
Show map & directions

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

Specialties & licences

Recreation Therapist (primary) Taxonomy 225800000X · Licence 85396 (NY)
Recreation Therapist Taxonomy 225800000X

Record details

NPI number1548969082
Entity typeIndividual (Type 1)
GenderFemale
Credentials CTRS
Sole proprietorYes
NPI enumeratedFebruary 23, 2023
Last updated in NPPESFebruary 23, 2023
Certification dateFebruary 23, 2023