Healthcare Provider Details

I. General information

NPI: 1790602696
Provider Name (Legal Business Name): JENNIFER MUELLER OTR/L
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/01/2026
Last Update Date: 07/01/2026
Certification Date: 07/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

138 W HIGHLAND RD STE 500
HOWELL MI
48843-2168
US

IV. Provider business mailing address

3900 HILLCREST
HIGHLAND MI
48356-2346
US

V. Phone/Fax

Practice location:
  • Phone: 517-376-4831
  • Fax:
Mailing address:
  • Phone: 517-376-4831
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number5201005274
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: