Individual
KELLY PIXLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, OTR/L
Contact information
Practice address
777 GOGUAC ST W, BATTLE CREEK, MI 49015-2097
(269) 237-7862
Mailing address
777 GOGUAC ST W, BATTLE CREEK, MI 49015-2097
(269) 223-7786
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
5201010645
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5201010645
STATE OF MICHIGAN
MI
Enumeration date
09/11/2019
Last updated
06/21/2024
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