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

Kelly James Blake, OTR

Individual provider Occupational Therapist · NPI 1396223129

Kelly James Blake, OTR is an Occupational Therapist in Waterford, Michigan. Licensed in Michigan. Registered with an NPI since 2018.

Licensed in
MI
In the registry since
2018
What do these letters mean?
OTR — Occupational Therapist, Registered
A nationally registered occupational therapist.

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Practice location Address checks out

1901 N Telegraph Rd
Waterford, MI 48328-1878
Phone: (248) 836-1000
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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 5201004341 (MI)

Record details

NPI number1396223129
Entity typeIndividual (Type 1)
GenderMale
Credentials OTR
Sole proprietorNo
NPI enumeratedAugust 2, 2018
Last updated in NPPESAugust 2, 2018

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