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NPI Code Detail

MEDICARE: TESSA KEYSOR

MEDICARE: TESSA KEYSOR
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225X00000XOccupational Therapist

General Provider Information

NPI Number : 1932051281
Entity Type Code : Individual
Provider Name (Legal Business Name) : TESSA KEYSOR
Provider Business Mailing Address
First Line : 5230 SHERMAN RD
Second Line :
City : SAGINAW
State : MI
Zip : 48604-1147
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1222 NORTH DR
Second Line :
City : MOUNT PLEASANT
State : MI
Zip : 48858-3200
Country : US
Telephone Number : 989-772-2957
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/10/2026
Last Update Date : 02/10/2026

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Directions to “ TESSA KEYSOR ” Practice Location

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