Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mrs. Jessica Amber Kellum, DPT, ATC

Individual provider Physical Therapist · NPI 1942432877

Mrs. Jessica Amber Kellum, DPT, ATC is a Physical Therapist in Plymouth, Michigan. Licensed in Michigan. Registered with an NPI since 2009.

Licensed in
MI
In the registry since
2009
What do these letters mean?
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.
ATC — Certified Athletic Trainer
Prevents and treats sport and activity injuries.

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Practice location Address checks out

9368 N Lilley Rd
Plymouth, MI 48170-4610
Phone: (734) 416-3900
Fax: (734) 416-3903
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 5501014667 (MI)

Record details

NPI number1942432877
Entity typeIndividual (Type 1)
GenderFemale
Credentials DPT , ATC
Sole proprietorNo
NPI enumeratedAugust 11, 2009
Last updated in NPPESFebruary 19, 2010

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