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Kelley Eavenson, PTA

NPI 1851168678 · on the registry since 2023 · sole proprietor

Practice

Address
1167 E Hopson St
Bad Axe, MI 48413
Phone
(989) 269-9983
Organisation at this address
Four Seasons Nursing Center Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
7

Registry record

Primary taxonomy
225200000X
225200000X
Licence states on file
MI
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2023-12-11

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Michigan