Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KELLI MARIE MACK, OTR
ActiveKELLI MARIE MACK, OTR is a Occupational Therapist healthcare provider located in DETROIT LAKES, Minnesota. NPI 1215273065 is currently active in the NPPES registry. Verify at CMS.
Occupational Therapist · DETROIT LAKES, MN
Registration Details
- NPI Number
- 1215273065
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Dec 26, 2012 (13.624824809115 yrs)
- Last Updated
- Dec 5, 2016
- License
-
102620 (MN)
Practice Information
- Address
-
1415 MADISON AVEDETROIT LAKES, MN, 565014542Browse MN providers · Browse ZIP 56501
- Phone
- 2188447119
- Primary Specialty
-
Occupational Therapist
225X00000X
Other Occupational Therapist Providers in DETROIT LAKES, MN
| Name | Credential | NPI |
|---|---|---|
| NANCY DARCY D OLSON | OTR | 1083655278 |
| ERIN NICHOLE LINDBERG | OTR/L | 1689618662 |
| CAROLYN GRACE PIERCE | OTR/L | 1235174202 |
| MICHELE JOANNE KNOBLICH | OT | 1033138789 |
| JULIE ANN NODSLE | OTR/L | 1043346620 |
| JESSICA ANN AILIE | OTR | 1902197395 |
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.