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

Individual provider Occupational Therapist · NPI 1053787572

Kelsey Jackson, MOTR/L is an Occupational Therapist in Detroit, Michigan. Works from 2 locations. Licensed in Kansas and Michigan.

Licensed in
KS, MI
In the registry since
2015
Specialties on file
2
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Practice location Address checks out

3901 Beaubien St
Detroit, MI 48201
Phone: (816) 805-0963
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 44201 Dequindre Rd Ste 203a, Troy, MI 48085-1117 — (248) 964-4014

Specialties & licences

Occupational Therapist (primary) Taxonomy 225X00000X · Licence 5201009867 (MI)
Occupational Therapist Taxonomy 225X00000X · Licence 17-03012 (KS)

Record details

NPI number1053787572
Entity typeIndividual (Type 1)
GenderFemale
Credentials MOTR/L
Sole proprietorNo
NPI enumeratedAugust 19, 2015
Last updated in NPPESJune 6, 2018

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