Provider Demographics
NPI:1548649403
Name:THOMAS, KELSI RAE (OTR/L)
Entity type:Individual
Prefix:MRS
First Name:KELSI
Middle Name:RAE
Last Name:THOMAS
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:
Other - First Name:KELSI
Other - Middle Name:RAE
Other - Last Name:SCHWALL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:OTR/L
Mailing Address - Street 1:8000 E GIRARD AVE
Mailing Address - Street 2:APT 511
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80231-4402
Mailing Address - Country:US
Mailing Address - Phone:614-579-0289
Mailing Address - Fax:
Practice Address - Street 1:8000 E GIRARD AVE
Practice Address - Street 2:APT 511
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80231-4402
Practice Address - Country:US
Practice Address - Phone:614-579-0289
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-05-26
Last Update Date:2015-05-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COOT.0004213225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist