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

Nicholas Anthony Kettman

Individual provider Occupational Therapist · NPI 1639843535

Nicholas Anthony Kettman is an Occupational Therapist in Oak Lawn, Illinois. Registered with an NPI since 2021.

In the registry since
2021

Practice location Address checks out

4440 W 95th St
Oak Lawn, IL 60453-2600
Phone: (708) 684-8000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Therapist (primary) Taxonomy 225X00000X

Record details

NPI number1639843535
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedAugust 4, 2021
Last updated in NPPESAugust 4, 2021
Certification dateAugust 3, 2021
Mailing address1217 Cambridge Ct, Shorewood, IL 60404-0539

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