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

Kelly Jo Maxwell

Individual provider Physical Therapy Assistant · NPI 1295032142

Kelly Jo Maxwell is a Physical Therapy Assistant in Grand Rapids, Michigan. Practices as a sole proprietor. Licensed in Michigan.

Licensed in
MI
In the registry since
2011

Practice location Address checks out

3041 Charlevoix Dr SE
Grand Rapids, MI 49546-7035
Phone: (616) 942-7200
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X · Licence L1680636 (MI)

Record details

NPI number1295032142
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedFebruary 11, 2011
Last updated in NPPESFebruary 11, 2011
Mailing address3041 Charlevoix Dr Se, Grand Rapids, MI 49546-7035

Other providers in Grand Rapids