Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Evan Michael Braedon I

Individual provider Occupational Therapy Assistant · NPI 1669936589

Evan Michael Braedon I is an Occupational Therapy Assistant in Lansing, Michigan. Practices as a sole proprietor. Licensed in Michigan.

Licensed in
MI
In the registry since
2019

Practice location Address checks out

3315 E Michigan Ave Ste 4
Lansing, MI 48912-4345
Phone: (517) 364-8600
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Therapy Assistant (primary) Taxonomy 224Z00000X · Licence 5202007978 (MI)

Record details

NPI number1669936589
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedJanuary 24, 2019
Last updated in NPPESJanuary 24, 2019
Mailing address3315 E Michigan Ave Ste 4, Lansing, MI 48912-4345

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