Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dustin Kyle Dettloff, OTR/L

Individual provider Occupational Therapist · NPI 1710447305

Dustin Kyle Dettloff, OTR/L is an Occupational Therapist in Wyoming, Michigan. Licensed in Michigan. Registered with an NPI since 2019.

Licensed in
MI
In the registry since
2019
What do these letters mean?
OTR/L — Occupational Therapist, Registered and Licensed
An occupational therapist who is both nationally registered and state licensed.

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Practice location Address checks out

5838 Metro Way SW
Wyoming, MI 49519-9619
Phone: (616) 249-5370
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Therapist (primary) Taxonomy 225X00000X · Licence 5201009620 (MI)

Record details

NPI number1710447305
Entity typeIndividual (Type 1)
GenderMale
Credentials OTR/L
Sole proprietorNo
NPI enumeratedMarch 21, 2019
Last updated in NPPESMarch 21, 2019

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