Most Relevant Information
Provider Data
| NPI Number: | 1003304601 |
| Provider Name: | KELSEY DANIELLE NICHOLS OTR/L |
| Entity Type: | Individual |
| Taxonomy Code: | 225X00000X |
| Specialty: | Occupational Therapist |
| License Number: | 5201009169 |
Most Important Dates
| Enumeration Date: | 04/29/2018 |
| Last Updated: | 04/29/2018 |
Provider Practice Location
1521 GULL RD
KALAMAZOO
MI
490481666
Practice Location Phone/Fax
| Phone: | 2692267000 |
| Fax: |
Provider Mailing Location
1521 GULL RD
KALAMAZOO
MI
490481666
Provider Mailing Phone/Fax
| Phone: | 2692267000 |
| Fax: |