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

Individual provider Community Health Worker · NPI 1407148190

Kristi Ann Mulligan, OTRL is a Community Health Worker in South Lyon, Michigan. Practices as a sole proprietor. Licensed in Michigan.

Licensed in
MI
In the registry since
2011
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Practice location Address checks out

379 Stanford Ave
South Lyon, MI 48178-1511
Phone: (248) 446-9883
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Community Health Worker (primary) Taxonomy 172V00000X · Licence 5201006241 (MI)

Record details

NPI number1407148190
Entity typeIndividual (Type 1)
GenderFemale
Credentials OTRL
Sole proprietorYes
NPI enumeratedMay 12, 2011
Last updated in NPPESMay 12, 2011