Nicole Tiderencel, CTRS - Kennesaw, GA

Nicole Tiderencel, CTRS

Recreation Therapist in Kennesaw, Georgia

NPI 1881114841

Nicole Tiderencel is a Recreation Therapist based in Kennesaw, GA. Nicole Tiderencel practices in Kennesaw, GA and has the professional credentials of CTRS. The NPI Number for Nicole Tiderencel is 1881114841 and holds a License No. 48030 (Georgia).

The current practice location address for Nicole Tiderencel is 1291 Stanley Rd Nw, Kennesaw, GA and can be reached out via phone at 770-427-0147.

Location: 1291 Stanley Rd Nw, Kennesaw, GA, 30152-4359

NPI Number

1881114841

Provider Name

Nicole Tiderencel

Credential

CTRS

Provider Entity Type

Individual

Gender

Female

Address

1291 Stanley Rd Nw, Kennesaw, GA, 30152-4359

Phone Number

770-427-0147

Fax Number

Provider Enumeration Date

06/21/2017

Last Update Date

03/09/2024

Address

1291 Stanley Rd Nw

City

Kennesaw

State

Georgia

Zip

30152-4359

Phone Number

770-427-0147

Fax Number

Address

1291 Stanley Rd Nw

City

Kennesaw

State

Georgia

Zip

30152-4359

Phone Number

770-427-0147

Fax Number

Type

Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Classification

Recreation Therapist

Speciality

Taxonomy

225800000X

License No.

48030 (Georgia)

Definition

A recreation therapist uses recreational activities for intervention in some physical, social or emotional behavior to bring about a desired change in that behavior and promote the growth and development of the patient.

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