Healthcare Provider Details

I. General information

NPI: 1700509692
Provider Name (Legal Business Name): JESSICA BELKA OTRL
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/26/2022
Last Update Date: 09/08/2026
Certification Date: 09/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

408 E JAMESON AVE
BATTLE CREEK MI
49014-5958
US

IV. Provider business mailing address

212 KIMBERLY
GALESBURG MI
49053-9612
US

V. Phone/Fax

Practice location:
  • Phone: 269-964-9426
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number5201013107
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: