Decious, Kelly Jo
Decious, Kelly Jo is an individual health care provider with primary practice located at 405 Monroe St , Pella IA 50219-1189. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, which is considered as her primary health care specialty. Decious, Kelly Jo can be contacted via phone (641) 628-6623.Contact Information
Primary practice address
405 Monroe St
Pella IA 50219-1189
Phone: (641) 628-6623
Fax: (641) 621-2223
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist | 225X00000X | 01692 | Iowa |
Profile Details
| NPI number | 1922262476 |
|---|---|
| LBN Legal business name | Decious, Kelly Jo |
| Credentials | OTR/L |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 14th, 2008 |
| Last updated | Feb 18th, 2016 - about 9 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1922262476 | NPPES |
| Iowa | Other | 01692 | IOWA LICENSE |
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