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

Individual provider Occupational Therapy Assistant · NPI 1053854299

Mrs. Kelli Sue Holmgren, OTA is an Occupational Therapy Assistant in Davenport, Iowa. Practices as a sole proprietor. Licensed in Iowa and Illinois.

Licensed in
IA, IL
In the registry since
2016
Specialties on file
2
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Practice location Address checks out

1532 Shamrock Dr
Davenport, IA 52807-7602
Phone: (563) 340-3665
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Therapy Assistant (primary) Taxonomy 224Z00000X · Licence 00736 (IA)
Occupational Therapy Assistant Taxonomy 224Z00000X · Licence 057.001964 (IL)

Record details

NPI number1053854299
Entity typeIndividual (Type 1)
GenderFemale
Credentials OTA
Sole proprietorYes
NPI enumeratedNovember 21, 2016
Last updated in NPPESNovember 21, 2016

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