Kellie A Deckard, OTR

NPI #1871340364 in Nixa, Missouri

Provider Information

NPI Number: 1871340364
Entity Type: Individual
Name: Kellie A Deckard, OTR
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Occupational Therapist
Credential: OTR
Enumeration Date: May 2, 2024
Last Updated: May 2, 2024

Practice Location

Address: 1887 N STATE HIGHWAY CC
City: Nixa
State: Missouri
ZIP Code: 65714-8015
Phone: (417) 725-5774

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Occupational Therapist	225X00000X	Primary

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