Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1841124740 Individual Practitioner

Kelly Declark

Speech-Language Pathologist • Holly, MI

Professional Overview & Biography Verified Profile Summary

Kelly Declark is a registered healthcare professional specializing in Speech-Language Pathologist in Holly, MI. Practice services are available at 10483 DIXIE HWY under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

10483 Dixie Hwy

Holly, MI 484429311

Telephone 8107717686
Associated Practice Facility / Clinic
🏢 Level 11 Physical Therapy Facility NPI 1730317785

Specialty Benchmarks & Practice Insights

Comparative analytics for Speech-Language Pathologist in Holly, MI

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 16.7 Yrs
State Avg: 12.5 Yrs
Regional Practice Density
12 Specialists

Practicing in Holly, MI (3778 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2026-06-09
Speech-Language Pathologist Primary Specialty

NUCC Taxonomy Code: 235Z00000X

State License MI 7152001440

The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

25 Associated Practitioners
Dr. Anna Bradley , PT, DPT

Physical Therapist

NPI 1033892328

Physical Therapist, Doctor of Physical Therapy

NPI 1063914646

Physical Therapist, Doctor of Physical Therapy

NPI 1235746249

Doctor of Occupational Therapy, Occupational Therapist Registered, L

Erin Uehara

Physical Therapist

NPI 1275184145
Daniel Pillivant

Physical Therapist

NPI 1407491731
Dr. Kelsey Paul , DPT, PT

Physical Therapist

NPI 1417640129

Doctor of Physical Therapy, Physical Therapist

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active June 09, 2026

NPI status registered as active in NPPES database

📍
Updated Practice Location June 09, 2026

Registered at 10483 DIXIE HWY, HOLLY, MI 484429311 (Tel: 8107717686)

📍
Updated Business Mailing Address June 09, 2026

Registered at 10483 DIXIE HWY, HOLLY, MI 484429311 (Tel: 8107717686)

👤
Provider Name / Credentials Updated June 09, 2026

Recorded as KELLY DECLARK

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 09, 2026

Speech-Language Pathologist (License #7152001440 in MI)

🟢
Initial NPI Registration & Enumeration June 09, 2026

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1841124740
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 09, 2026
Last Update: June 09, 2026
Sole Proprietor: No

Mailing Address

10483 Dixie Hwy

Holly, MI 484429311

Phone: 8107717686

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.