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

KELLY MICHELLE WOOD, COTA

Active Sole Proprietor

KELLY MICHELLE WOOD, COTA is a Skilled Nursing Facility healthcare provider located in FORT WAYNE, Indiana. NPI 1710280888 is currently active in the NPPES registry. Verify at CMS.

Skilled Nursing Facility · FORT WAYNE, IN

Registration Details

NPI Number
1710280888
Provider Type
Individual
Gender
Female
NPI Issued
Dec 13, 2010 (15.643418999823 yrs)
Last Updated
Dec 13, 2010
License
32001909A (IN)
Sole Proprietor
Yes

Practice Information

Address
8528 KILLEEN RUN
FORT WAYNE, IN, 468359657
Browse IN providers · Browse ZIP 46835
Phone
2604140079
Primary Specialty
Skilled Nursing Facility
314000000X

Other Skilled Nursing Facility Providers in FORT WAYNE, IN

Name Credential NPI
LINDSEY MARIE FULLER PTA 1023487592
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.