Individual provider · Type 1 NPI

Kelsey Jackson, MOTR/L

Occupational Therapist · Detroit, MI

NPI number 1053787572 Active

Practice location

3901 Beaubien St
Detroit, MI 48201

Mailing address

30080 Manor Dr
Madison Heights, MI 48071-2237

Other practice locations

  • 44201 Dequindre Rd Ste 203A, Troy, MI 48085-1117 · (248) 964-4014

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapist 225X00000X17-03012 (KS)
Occupational Therapist Primary 225X00000X5201009867 (MI)

Occupational Therapist: An occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the World Federation of Occupational Therapists (WFOT), or an equivalent international occupational therapy education program; has successfully completed a period of supervised fieldwork…

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About NPI 1053787572

Kelsey Jackson, MOTR/L's National Provider Identifier is 1053787572, issued on Aug 19, 2015. The primary taxonomy on file is Occupational Therapist (225X00000X), and the practice location is in Detroit, MI. The record was last updated on Jun 6, 2018.