Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KELLY JAMES BLAKE, OTR
ActiveKELLY JAMES BLAKE, OTR is a Occupational Therapist healthcare provider located in WATERFORD, Michigan. NPI 1396223129 is currently active in the NPPES registry. Verify at CMS.
Occupational Therapist · WATERFORD, MI
Registration Details
- NPI Number
- 1396223129
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 2, 2018 (7.8459945279233 yrs)
- Last Updated
- Aug 2, 2018
- License
-
5201004341 (MI)
Practice Information
- Address
-
1901 N TELEGRAPH RDWATERFORD, MI, 483281878Browse MI providers · Browse ZIP 48328
- Phone
- 2488361000
- Primary Specialty
-
Occupational Therapist
225X00000X
Other Occupational Therapist Providers in WATERFORD, MI
| Name | Credential | NPI |
|---|---|---|
| JENNIFER PHILLIPS | OT | 1376674549 |
| MELISSA LYNN DAUL | OTR | 1245362060 |
| KAREN LEONCIO | OT | 1891965976 |
| JOAN HAY | OTR | 1548429558 |
| CHERYL BURFORD | — | 1891949459 |
| MRS. SHANNON LEA DAVIS | OTR/L | 1538485982 |
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.