Provider Demographics
NPI:1235834169
Name:MAKING STRIDES LLC
Entity Type:Organization
Organization Name:MAKING STRIDES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OCCUPATIONAL THERAPIST / OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MEGAN
Authorized Official - Middle Name:AUBREY
Authorized Official - Last Name:SELLENRAAD
Authorized Official - Suffix:
Authorized Official - Credentials:OT
Authorized Official - Phone:989-284-6670
Mailing Address - Street 1:7994 N SWEDE RD
Mailing Address - Street 2:
Mailing Address - City:NORTHPORT
Mailing Address - State:MI
Mailing Address - Zip Code:49670-9366
Mailing Address - Country:US
Mailing Address - Phone:989-284-6670
Mailing Address - Fax:231-386-7298
Practice Address - Street 1:7994 N SWEDE RD
Practice Address - Street 2:
Practice Address - City:NORTHPORT
Practice Address - State:MI
Practice Address - Zip Code:49670-9366
Practice Address - Country:US
Practice Address - Phone:989-284-6670
Practice Address - Fax:231-386-7298
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-03-31
Last Update Date:2023-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Single Specialty