Individual provider · Type 1 NPI

Shelly Hennink Davis, OTR

Hand Occupational Therapist · Grand Rapids, MI

NPI number 1912957358 Active

Practice location

1111 Leffingwell Ave NE, Suite 210
Grand Rapids, MI 49525-6406

Call (616) 949-5061 Map

Fax (616) 949-5599

Mailing address

735 Firestone Dr SE
Byron Center, MI 49315-8478

Specialties and licenses

TaxonomyCodeLicense
Hand Occupational Therapist Primary 225XH1200X5201000680 (MI)

Hand Occupational Therapist: Definition to come...

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About NPI 1912957358

Shelly Hennink Davis, OTR's National Provider Identifier is 1912957358, issued on May 10, 2006. The primary taxonomy on file is Hand Occupational Therapist (225XH1200X), and the practice location is in Grand Rapids, MI. The record was last updated on Jul 13, 2026.