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

JUSTIN KELLY, PTA

Active

JUSTIN KELLY, PTA is a Occupational Therapist healthcare provider located in WILLOW SPRINGS, Illinois. NPI 1841676806 is currently active in the NPPES registry. Verify at CMS.

Occupational Therapist · WILLOW SPRINGS, IL

Registration Details

NPI Number
1841676806
Provider Type
Individual
Gender
Male
NPI Issued
Jul 31, 2015 (11.004660234475 yrs)
Last Updated
Aug 4, 2015
License
160.007134 (IL)

Practice Information

Address
8434 CORCORAN RD
WILLOW SPRINGS, IL, 604801666
Browse IL providers · Browse ZIP 60480
Phone
7084670657
Fax
7083305046
Primary Specialty
Occupational Therapist
225200000X

Other Occupational Therapist Providers in WILLOW SPRINGS, IL

Name Credential NPI
MACAYLA LENZI PTA 1578091666
JAMES BORRE PTA 1700390903
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.