KELLI MARIE MACK

DETROIT LAKES, MN
NPI1215273065
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225X00000X Occupational Therapist
(Licence: MN  102620)
Enumeration Date2012-12-26
Last Update Date2016-12-05
Business Address
-- KELLI MARIE MACK OTR
1415 MADISON AVE
DETROIT LAKES, MN 56501-4542
Phone number: 218-844-7119
Mailing Address
-- KELLI MARIE MACK OTR
28910 COUNTY HIGHWAY 54
DETROIT LAKES, MN 56501-7301
Phone number: 218-234-6747