MS. MARY LYNNE KLEIS OTR/L CHT CLT NPI 1154799666

NPI Information

NPI: 1154799666
Provider Name: MS. MARY LYNNE KLEIS, OTR/L, CHT, CLT
Classification: Occupational Therapist - 225XH1200X
Entity Type: Individual

Specialization: Hand

Address:
3739 BALDWIN ST
HUDSONVILLE, MI
ZIP 49426
Phone: (616) 669-2734
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MS. Mary Lynne Kleis, OTR/L, CHT, CLT is a hand occupational therapist in Hudsonville, MI. MS. Mary Lynne Kleis, OTR/L, CHT, CLT NPI is 1154799666. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

3739 BALDWIN ST
HUDSONVILLE, MI
ZIP 49426-733
Phone: (616) 669-2734
Fax: (616) 669-2734

The enumeration date for this NPI number is 9/14/2015 and was last updated on 5/9/2017.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	225XH1200X	Occupational Therapist	Hand	5201001229	MICHIGAN	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	1790157097	MEDICARE NSC	MICHIGAN
2	MI10047	MEDICARE PIN	MICHIGAN
3	1790157097	MEDICAID	MICHIGAN
4	0G00491	OTHER	MICHIGAN	BCBSM
5	748169001	MEDICARE PIN	MICHIGAN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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