Organization
KCMOTT LLC
Active
Other names
Evergreen Therapy Group
Organization subpart
No
Provider details
NPI number
Authorized official
KAYLA MOTTER CCC-SLP (OWNER/LEAD THERAPIST)
(810) 296-8493
Entity
Organization
Contact information
Practice address
6455 N OAK RD, DAVISON, MI 48423-9306
(810) 834-4426
Mailing address
6455 N OAK RD, DAVISON, MI 48423-9306
(810) 834-4426
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
—
—
Other
Enumeration date
06/04/2025
Last updated
06/04/2025
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