Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JON GARRICK KELLEY, COTA
ActiveJON GARRICK KELLEY, COTA is a Occupational Therapy Assistant healthcare provider located in DODGE CENTER, Minnesota. NPI 1124619390 is currently active in the NPPES registry. Verify at CMS.
Occupational Therapy Assistant · DODGE CENTER, MN
Registration Details
- NPI Number
- 1124619390
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Feb 1, 2021 (5.3500518081573 yrs)
- Last Updated
- Feb 1, 2021
- License
-
201600 (MN)
Practice Information
- Address
-
702 10TH AVE NWDODGE CENTER, MN, 559279172Browse MN providers · Browse ZIP 55927
- Phone
- 5076356415
- Primary Specialty
-
Occupational Therapy Assistant
224Z00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.