Healthcare Provider Details

I. General information

NPI: 1417543778
Provider Name (Legal Business Name): KELLY ANN HUNSTON OTR/L
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/21/2020
Last Update Date: 08/06/2026
Certification Date: 08/06/2026
Deactivation Date: 01/13/2021
Reactivation Date: 06/24/2026

III. Provider practice location address

ROWAN SALISBURY SCHOOLS 500 NORTH MAIN STREET
SALISBURY NC
28144
US

IV. Provider business mailing address

2700 UMBERGER RD
CLEVELAND NC
27013
US

V. Phone/Fax

Practice location:
  • Phone: 704-636-7500
  • Fax:
Mailing address:
  • Phone: 561-762-3099
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number18184
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: