Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KELLEY LEIGH EAVENSON, PTA
Active Sole ProprietorKELLEY LEIGH EAVENSON, PTA is a Occupational Therapist healthcare provider located in BAD AXE, Michigan. NPI 1851168678 is currently active in the NPPES registry. Verify at CMS.
Occupational Therapist · BAD AXE, MI
Registration Details
- NPI Number
- 1851168678
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Dec 11, 2023 (2.6508232672512 yrs)
- Last Updated
- Dec 11, 2023
- License
-
5502007923 (MI)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1167 E HOPSON STBAD AXE, MI, 484131555Browse MI providers · Browse ZIP 48413
- Phone
- 9892699983
- Primary Specialty
-
Occupational Therapist
225200000X
Other Occupational Therapist Providers in BAD AXE, MI
| Name | Credential | NPI |
|---|---|---|
| MRS. YULIYA V. CHRISTENSEN | PTA | 1285179630 |
| KRIS S DETGEN | — | 1134823628 |
| ASHLEY BARKER | — | 1972342996 |
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.