Kelsey Koenig
Individual provider Active NPI Physical Therapy Assistant · Minster, OH
NPI 1225812464 · NPPES record last updated Aug 21, 2023
Key facts
- NPI
- 1225812464
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapy Assistant 225200000X
- License
- PTA013556 (OH)
- Practice address
- 244 Heitkamp Rd
Minster, OH 45865-9745 - Phone
- (419) 953-7516
- NPI assigned
- Aug 21, 2023
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PTA013556 | OH | MD | Physical Therapy Assistant |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant |
225200000X | PTA013556 | OH | Yes |
Addresses
Primary practice location
244 Heitkamp Rd
Minster, OH 45865-9745
Mailing address
244 Heitkamp Rd
Minster, OH 45865-9745
Other providers in Minster, OH
- Kaup Pharmacy, Inc.
- Bonnie Killian
- Claire Elenore Kleinhenz
- Tara M Klosterman
- Kimberly L Knapke
- Lolek Neurologic Rehab LLC
- Sunni Lyn Lomnicki
- Tyler Joseph Lomnicki
- Stacy Louth
- Tina Ludwig
All providers in Minster, OH · Physical Therapy Assistant in Ohio
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 21, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.