Kelly Lynn Allen, OTRL

Individual provider Active NPI Occupational Therapist · Ionia, MI

NPI 1194359455 · NPPES record last updated May 17, 2023

Key facts

NPI
1194359455
Entity type
Individual (NPI type 1)
Primary specialty
Occupational Therapist 225X00000X
License
5201010903 (MI)
Practice address
375 Apple Tree Dr
Ionia, MI 48846-7506
Phone
(616) 527-1790
NPI assigned
Feb 26, 2020
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 5201010903 MI Yes

Addresses

Primary practice location

375 Apple Tree Dr
Ionia, MI 48846-7506

Mailing address

375 Apple Tree Dr
Ionia, MI 48846-7506

Other providers in Ionia, MI

All providers in Ionia, MI · Occupational Therapist in Michigan

Sources for this page

Verify at the official NPI Registry.