Kelly Bridgette Small

Occupational Therapy Assistant · Baraboo, WI

Individual Active NPI

NPI number 1649449588

Practice location

819 East St
Baraboo, WI 53913-2213
Phone
(682) 553-8393

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NPI record

NPI
1649449588
Entity type
Individual (Type 1)
Enumeration date
February 25, 2008
Last updated
February 25, 2008
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Occupational Therapy Assistant Primary 224Z00000X 207218 TX

About Kelly Small

Kelly Bridgette Small is a healthcare provider registered in the NPI registry with the primary taxonomy Occupational Therapy Assistant (code 224Z00000X). The practice location is 819 East St, Baraboo, WI 53913-2213. The NPI number 1649449588 was assigned on February 25, 2008 and the record was last updated on February 25, 2008.

Kelly Small lists a license in the registry: #207218 (TX) for Occupational Therapy Assistant. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Kelly Bridgette Small?

The NPI number is 1649449588.

What is the phone number of Kelly Small?

The phone number listed for the practice location is (682) 553-8393.

Where is Kelly Small located?

819 East St, Baraboo, WI 53913-2213.

What is the taxonomy code for Kelly Small?

The primary taxonomy code is 224Z00000X – Occupational Therapy Assistant.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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