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

Individual provider Occupational Therapist · NPI 1215273065

Kelli Marie Mack, OTR is an Occupational Therapist in Detroit Lakes, Minnesota. Licensed in Minnesota. Registered with an NPI since 2012.

Licensed in
MN
In the registry since
2012
What do these letters mean?
OTR — Occupational Therapist, Registered
A nationally registered occupational therapist.

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Practice location Address checks out

1415 Madison Ave
Detroit Lakes, MN 56501-4542
Phone: (218) 844-7119
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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 102620 (MN)

Record details

NPI number1215273065
Entity typeIndividual (Type 1)
GenderFemale
Credentials OTR
Sole proprietorNo
NPI enumeratedDecember 26, 2012
Last updated in NPPESDecember 5, 2016

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