Individual provider · Type 1 NPI

Kelly Jo Stepanek, OTR, CHT

Specialist · Grand Rapids, MI

NPI number 1316990195 Active

Practice location

245 Cherry St SE, Suite 308
Grand Rapids, MI 49503-4607

Mailing address

8636 24th Ave
Jenison, MI 49428-9543

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000X5201003107 (MI)

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1316990195

Kelly Jo Stepanek, OTR, CHT's National Provider Identifier is 1316990195, issued on May 19, 2006. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Grand Rapids, MI. The record was last updated on Aug 8, 2014.