# CHILDRENS THERAPY SHOP

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Childrens Therapy Shop
- **Organization subpart:** No

## Provider details

- **NPI number:** 1659104115
- **Authorized official:** KERIELLE LINNE SMITH OTR/L, MS, MA (OWNER/OCCUPATIONAL THERAPIST)
- **Authorized official phone:** (734) 252-9958

## Contact information

- **Practice address:** 24410 MIDDLEBELT RD., NEW BOSTON, MI 48164-9487
- **Practice address phone:** (734) 252-9167
- **Practice address fax:** (734) 252-9958
- **Mailing address:** 24410 MIDDLEBELT RD, NEW BOSTON, MI 48164-9487
- **Mailing address phone:** (734) 664-8180

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225X00000X | Occupational Therapist | — | NULL | Yes |
| 225X00000X | Occupational Therapist | — | — | Yes |
| 261QR0400X | Rehabilitation Clinic/Center | — | — | Yes |

## Other

- **Enumeration date:** 08/21/2024
- **Last updated:** 08/19/2026