Provider Demographics
NPI:1467654269
Name:HANSON-SKIRKA, KELSEY MARIE (PTA, OTR/L)
Entity type:Individual
Prefix:
First Name:KELSEY
Middle Name:MARIE
Last Name:HANSON-SKIRKA
Suffix:
Gender:F
Credentials:PTA, OTR/L
Other - Prefix:
Other - First Name:KELSEY
Other - Middle Name:MARIE
Other - Last Name:HANSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PTA, OTR/L
Mailing Address - Street 1:1710 HIGHWAY 121 BYP N STE K
Mailing Address - Street 2:
Mailing Address - City:MURRAY
Mailing Address - State:KY
Mailing Address - Zip Code:42071-8762
Mailing Address - Country:US
Mailing Address - Phone:270-767-6397
Mailing Address - Fax:270-767-6853
Practice Address - Street 1:1710 HIGHWAY 121 BYP N STE K
Practice Address - Street 2:
Practice Address - City:MURRAY
Practice Address - State:KY
Practice Address - Zip Code:42071-8762
Practice Address - Country:US
Practice Address - Phone:270-767-6397
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-06-04
Last Update Date:2019-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist
No225200000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapy Assistant