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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

KELLY JO MATTILA, PTA

Active

KELLY JO MATTILA, PTA is a Occupational Therapist healthcare provider located in CALDWELL, Texas. NPI 1538690532 is currently active in the NPPES registry. Verify at CMS.

Occupational Therapist · CALDWELL, TX

Registration Details

NPI Number
1538690532
Provider Type
Individual
Gender
Female
NPI Issued
Mar 22, 2017 (9.2142593502512 yrs)
Last Updated
Mar 22, 2017
License
2122317 (TX)

Practice Information

Address
1022 PRESIDENTIAL CORRIDOR
CALDWELL, TX, 778364611
Browse TX providers · Browse ZIP 77836
Phone
9795670920
Primary Specialty
Occupational Therapist
225200000X

Other Occupational Therapist Providers in CALDWELL, TX

Name Credential NPI
BRYANA FRAZER PTA 1285093286
NEVAH MARIE EVANS PTA 1578042578
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.