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

Mr. Kenneth Paul Haagsma, OCCUPATIONALTHERAPI

Individual provider Occupational Therapist · NPI 1639363088

Mr. Kenneth Paul Haagsma, OCCUPATIONALTHERAPI is an Occupational Therapist in Grandville, Michigan. Practices as a sole proprietor. Licensed in Michigan.

Licensed in
MI
In the registry since
2007
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Practice location Address checks out

4072 Lila Ave SW
Grandville, MI 49418 Not confirmed with CMS for 19 years — call before visiting
Phone: (616) 644-1050
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Therapist (primary) Taxonomy 225X00000X · Licence 5201000994 (MI)

Record details

NPI number1639363088
Entity typeIndividual (Type 1)
GenderMale
Credentials OCCUPATIONALTHERAPI
Sole proprietorYes
NPI enumeratedAugust 29, 2007
Last updated in NPPESAugust 29, 2007

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