Kelsie Fraser, LMT
Individual provider Active NPI Specialist · Grayling, MI
NPI 1356909386 · NPPES record last updated Jun 4, 2019
Key facts
- NPI
- 1356909386
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Specialist 174400000X
- License
- 7501009847 (MI)
- Practice address
- 6838 M 93 Hwy S
Grayling, MI 49738-7766 - Phone
- (989) 348-6600
- NPI assigned
- Jun 4, 2019
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
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 |
|---|---|---|---|
| 7501009847 | MI | MD | Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Denholm Family Chiropractic, PC | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 7501009847 | MI | Yes |
Addresses
Primary practice location
6838 M 93 Hwy S
Grayling, MI 49738-7766
Mailing address
6838 M 93 Hwy S
Grayling, MI 49738-7766
Phone (989) 348-6600
Other providers in Grayling, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 4, 2019. 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.