IndividualActive
Shelly Davis, OTR
NPI 1912957358 · Hand Occupational Therapist · Grand Rapids, MI
Provider details
- NPI number
- 1912957358
- Entity type
- Individual
- Primary specialty
- Hand Occupational TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- OTR
- Sex
- Female
- License
- 5201000680 (MI)
Practice location
1111 Leffingwell Ave Ne
Suite 210
Grand Rapids, MI 49525-6406
Phone: (616) 949-5061
Fax: (616) 949-5599
Mailing address
735 Firestone Dr Se
Byron Center, MI 49315-8478
Registry dates
- Enumerated
- 2006-05-10
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.