Individual
MRS. KELLI MARIE DETWILER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPTA
Contact information
Practice address
2194 E BOATFIELD AVE, BURTON, MI 48529-1716
(810) 835-6114
Mailing address
2194 E BOATFIELD AVE, BURTON, MI 48529-1716
(810) 835-6114
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
—
MI
Other
Enumeration date
11/30/2011
Last updated
07/28/2025
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