Kelli Marie Mack, OTR - Occupational Therapist in Detroit Lakes, MN

Kelli Marie Mack, OTR is a Occupational Therapist based in Detroit Lakes, Minnesota. Kelli Marie Mack is licensed to practice in Minnesota (license number 102620) and her current practice location is 1415 Madison Ave, Detroit Lakes, Minnesota. She can be reached at her office (for appointments etc.) via phone at (218) 844-7119.

NPI number for Kelli Marie Mack is 1215273065 and her current mailing address is 28910 County Highway 54, Detroit Lakes, Minnesota. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1215273065.

Contact Information

Kelli Marie Mack, OTR
1415 Madison Ave,
Detroit Lakes, MN 56501-4542
(218) 844-7119
Not Available



Healthcare Provider's Profile

Full NameKelli Marie Mack
GenderFemale
SpecialityOccupational Therapist
Location1415 Madison Ave, Detroit Lakes, Minnesota
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1215273065
  • Provider Enumeration Date: 12/26/2012
  • Last Update Date: 12/05/2016

Medical Identifiers

Medical identifiers for Kelli Marie Mack such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1215273065NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
225X00000XOccupational Therapist 102620 (Minnesota)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kelli Marie Mack is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Kelli Marie Mack, OTR
28910 County Highway 54,
Detroit Lakes, MN 56501-7301

Ph: (218) 234-6747
Kelli Marie Mack, OTR
1415 Madison Ave,
Detroit Lakes, MN 56501-4542

Ph: (218) 844-7119

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› Verified 5 days ago


Occupational Therapist in Detroit Lakes, MN

Melissa M Hoffman,
Occupational Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 1027 Washington Ave, Detroit Lakes, MN 56501
Phone: 218-847-5611    
Michele Joanne Knoblich, OT
Occupational Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 1027 Washington Ave, Detroit Lakes, MN 56501
Phone: 218-847-5611    
Ms. Kelly J Soyring, OTR
Occupational Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 18580 Totland Rd, Detroit Lakes, MN 56501
Phone: 955-955-2218    
Julie Ann Nodsle, OTR/L
Occupational Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 803 Roosevelt Ave, # 301, Detroit Lakes, MN 56501
Phone: 218-844-5555    Fax: 218-844-6057
Abbe Kaiser,
Occupational Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 1415 Madison Ave, Detroit Lakes, MN 56501
Phone: 218-847-4486    
Mrs. Diane Jean Mccormack, MS, OTR/L
Occupational Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 15840 Long Lake Road, Detroit Lakes, MN 56501
Phone: 218-847-5071    
Nancy Darcy D Olson, OTR
Occupational Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 125 Frazee St E, Detroit Lakes, MN 56501
Phone: 218-844-2300    Fax: 218-844-2444

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