MRS. Kelli Marie Detwiler, LPTA

NPI #1154698561 in Burton, Michigan

Provider Information

NPI Number: 1154698561
Entity Type: Individual
Name: MRS. Kelli Marie Detwiler, LPTA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapy Assistant
Credential: LPTA
Enumeration Date: Nov 30, 2011
Last Updated: Jul 28, 2025

Practice Location

Address: 2194 E BOATFIELD AVE
City: Burton
State: Michigan
ZIP Code: 48529-1716
Phone: (810) 835-6114

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapy Assistant	225200000X	Primary

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