Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MS. KELLIE MARIE HEADRICK, COTA/L
Active Sole ProprietorMS. KELLIE MARIE HEADRICK, COTA/L is a Occupational Therapy Assistant healthcare provider located in HARRISBURG, Illinois. NPI 1538557145 is currently active in the NPPES registry. Verify at CMS.
Occupational Therapy Assistant · HARRISBURG, IL
Registration Details
- NPI Number
- 1538557145
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jan 5, 2015 (11.634259315847 yrs)
- Last Updated
- Jan 5, 2015
- Licenses
-
057004130 (IL)BOTOTA00210165 (KY)
- Sole Proprietor
- Yes
Practice Information
- Address
-
924 S COMMERCIAL STHARRISBURG, IL, 629462637Browse IL providers · Browse ZIP 62946
- Phone
- 6182527171
- Fax
- 6182527272
- Primary Specialty
-
Occupational Therapy Assistant
224Z00000X
- Additional Specialty
- Occupational Therapy Assistant
Other Occupational Therapy Assistant Providers in HARRISBURG, IL
| Name | Credential | NPI |
|---|---|---|
| MR. JOSHUA TRAVIS MORRIS | COTA/L | 1922283183 |
| MR. BILLY G SMITH | — | 1184873317 |
| MR. BRETT CASTEEL | BA, AAS, COTA/L | 1801280987 |
| JESSICA HATHAWAY | COTA/L | 1417327925 |
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.