Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Kelly Jo Maxwell

Individual provider Physical Therapy Assistant · NPI 1295032142

Kelly Jo Maxwell is a Physical Therapy Assistant in Grand Rapids, Michigan. Practices as a sole proprietor. Licensed in Michigan.

Licensed in
MI
In the registry since
2011

Practice location Address checks out

3041 Charlevoix Dr SE
Grand Rapids, MI 49546-7035 Not confirmed with CMS for 15 years — call before visiting
Phone: (616) 942-7200
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X · Licence L1680636 (MI)

Record details

NPI number1295032142
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedFebruary 11, 2011
Last updated in NPPESFebruary 11, 2011

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