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

Kellie A Deckard, OTR

Individual provider Occupational Therapist · NPI 1871340364

Kellie A Deckard, OTR is an Occupational Therapist in Nixa, Missouri. Licensed in Missouri. Registered with an NPI since 2024.

Licensed in
MO
In the registry since
2024
What do these letters mean?
OTR — Occupational Therapist, Registered
A nationally registered occupational therapist.

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Practice location Address checks out

1887 N State Highway Cc
Nixa, MO 65714-8015
Phone: (417) 725-5774
Fax: (417) 725-5915
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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 2009026347 (MO)

Record details

NPI number1871340364
Entity typeIndividual (Type 1)
GenderFemale
Credentials OTR
Sole proprietorNo
NPI enumeratedMay 2, 2024
Last updated in NPPESMay 2, 2024
Certification dateMay 2, 2024
Mailing address1887 N State Highway Cc, Nixa, MO 65714-8015

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