Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. KELLY LON DREVECKY, OT R/L
Active Sole ProprietorMR. KELLY LON DREVECKY, OT R/L is a Pediatric Occupational Therapist healthcare provider located in MINOT, North Dakota. NPI 1457303695 is currently active in the NPPES registry. Verify at CMS.
Pediatric Occupational Therapist · MINOT, ND
Registration Details
- NPI Number
- 1457303695
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 16, 2006 (20.208980262128 yrs)
- Last Updated
- Aug 7, 2008
- Licenses
-
612 (ND)612 (ND)612 (ND)
- Sole Proprietor
- Yes
Practice Information
- Address
-
700 HARMONY ST NWMINOT, ND, 587032892Browse ND providers · Browse ZIP 58703
- Phone
- 7017205355
- Fax
- 7018391311
- Primary Specialty
-
Pediatric Occupational Therapist
225XP0200X
- Additional Specialty
- Neurorehabilitation Occupational Therapist
- Additional Specialty
- Pediatric Occupational Therapist
Other Pediatric Occupational Therapist Providers in MINOT, ND
| Name | Credential | NPI |
|---|---|---|
| LESLEY ANNE FETTIG | OTR | 1669514295 |
| MRS. JOLEEN MARIE THOMAS | OTR | 1912049065 |
| SAMANTHA JO COYLE-JOHNSON | MOT, OTR/L, CPST | 1568943405 |
| MARCETTA MAYES | MOT/R | 1639030430 |
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.