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

Holly Mellenthin

Individual provider Occupational Therapy Assistant · NPI 1902725468

Holly Mellenthin is an Occupational Therapy Assistant in Maryville, Illinois. Licensed in Illinois. Registered with an NPI since 2026.

Licensed in
IL
In the registry since
2026

Practice location Address checks out

6800 State Route 162
Maryville, IL 62062-8500
Phone: (618) 635-2200
Fax: (618) 635-2200
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 57002654 (IL)

Record details

NPI number1902725468
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJuly 10, 2026
Last updated in NPPESJuly 10, 2026
Certification dateJuly 10, 2026
Mailing address6800 State Route 162, Maryville, IL 62062-8500

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