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

Individual provider Physical Therapy Assistant · NPI 1154698561

Mrs. Kelli Marie Detwiler, LPTA is a Physical Therapy Assistant in Burton, Michigan. Licensed in Michigan. Registered with an NPI since 2011.

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

2194 E Boatfield Ave
Burton, MI 48529-1716
Phone: (810) 835-6114
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X (MI)

Record details

NPI number1154698561
Entity typeIndividual (Type 1)
GenderFemale
Credentials LPTA
Sole proprietorNo
NPI enumeratedNovember 30, 2011
Last updated in NPPESJuly 28, 2025
Certification dateJuly 28, 2025

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