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

Kelley Leigh Eavenson, PTA

Individual provider Physical Therapy Assistant · NPI 1851168678

Kelley Leigh Eavenson, PTA is a Physical Therapy Assistant in Bad Axe, Michigan. Practices as a sole proprietor. Licensed in Michigan.

Licensed in
MI
In the registry since
2023
What do these letters mean?
PTA — Physical Therapist Assistant
Delivers treatment under a physical therapist's direction.

See every abbreviation used in this directory →

Practice location Address checks out

1167 E Hopson St
Bad Axe, MI 48413-1555
Phone: (989) 269-9983
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X · Licence 5502007923 (MI)

Record details

NPI number1851168678
Entity typeIndividual (Type 1)
GenderFemale
Credentials PTA
Sole proprietorYes
NPI enumeratedDecember 11, 2023
Last updated in NPPESDecember 11, 2023
Certification dateDecember 11, 2023

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