Individual provider · Type 1 NPI

Kelly Rene Bousson, MS, OTR

Occupational Therapist · Manistee, MI

NPI number 1902002298 Active

Practice location

772 E Parkdale Ave
Manistee, MI 49660-9110

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapist Primary 225X00000X5201006679 (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 1902002298

Kelly Rene Bousson, MS, OTR's National Provider Identifier is 1902002298, issued on Jun 22, 2007. The primary taxonomy on file is Occupational Therapist (225X00000X), and the practice location is in Manistee, MI. The record was last updated on Oct 12, 2026.