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

Kelley Grace Herskovic, MRS

Individual provider Occupational Therapist · NPI 1154864403

Kelley Grace Herskovic, MRS is an Occupational Therapist in Santa Rosa, California. Licensed in California. Registered with an NPI since 2016.

Licensed in
CA
In the registry since
2016

Practice location Address checks out

1165 Montgomery Dr
Santa Rosa, CA 95405
Phone: (707) 637-3276
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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 11709 (CA)

Record details

NPI number1154864403
Entity typeIndividual (Type 1)
GenderFemale
Credentials MRS
Sole proprietorNo
NPI enumeratedNovember 18, 2016
Last updated in NPPESNovember 18, 2016

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