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

Individual provider Occupational Therapist · NPI 1790366946

Kelly Hauck, OTR is an Occupational Therapist in Phoenix, Arizona. Licensed in New York. Registered with an NPI since 2021.

Licensed in
NY
In the registry since
2021
What do these letters mean?
OTR — Occupational Therapist, Registered
A nationally registered occupational therapist.

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Practice location Address checks out

11830 N 19th Ave Apt 101
Phoenix, AZ 85029-3520
Phone: (602) 443-5447
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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 023993 (NY)

Record details

NPI number1790366946
Entity typeIndividual (Type 1)
GenderFemale
Credentials OTR
Sole proprietorNo
NPI enumeratedApril 19, 2021
Last updated in NPPESFebruary 1, 2024
Certification dateFebruary 1, 2024

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