| Doctor Name: | MS. MARY LYNNE KLEIS |
| NPI Number: | 1154799666 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | OTR/L, CHT, CLT |
| License Number: | 5201001229 |
| Business Practice Address: | 3739 Baldwin St Hudsonville, MI - 494269733 |
| Business Phone Number: | 6166692734 |
| Business Fax Number: | 6166692734 |
| Mailing Address: | 3739 Baldwin St, HUDSONVILLE |
| State: | MI |
| Postal Code: | 494269733 |
| Phone Number: | 6166692734 |
| Fax Number: | 6166692734 |
| NPI Enumeration Date: | 09/14/2015 |
| NPI Last Update Date: | 09/14/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225XH1200X |
| License Number: | 5201001229 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MI |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Occupational Therapist |
| Taxonomy Specialization: | Hand |
| Taxonomy Definition: | |