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

Individual provider Pediatric Occupational Therapist · NPI 1962109793

Jaide Kelli Bammer, OTRL is a Pediatric Occupational Therapist in Jackson, Michigan. Licensed in Michigan. Registered with an NPI since 2023.

Licensed in
MI
In the registry since
2023
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Practice location Address checks out

1001 Laurence Ave
Jackson, MI 49202-2979
Phone: (517) 750-4777
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Occupational Therapist (primary) Taxonomy 225XP0200X · Licence 5201013249 (MI)

Record details

NPI number1962109793
Entity typeIndividual (Type 1)
GenderFemale
Credentials OTRL
Sole proprietorNo
NPI enumeratedFebruary 13, 2023
Last updated in NPPESFebruary 28, 2024
Certification dateJanuary 17, 2024

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