Kelsey Blau
Individual provider Active NPI Occupational Therapist · Georgetown, KY
NPI 1922760339 · NPPES record last updated May 8, 2023
Key facts
- NPI
- 1922760339
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapist 225X00000X
- License
- 273627 (KY)
- Practice address
- 117 E Jefferson St
Georgetown, KY 40324-1764 - Phone
- (859) 224-2273
- Fax
- (859) 224-4675
- NPI assigned
- Oct 13, 2021
- 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 |
|---|---|---|---|
| 273627 | KY | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Marshall Pediatric Therapy, LLC | Occupational Therapist | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 273627 | KY | Yes |
Addresses
Primary practice location
117 E Jefferson St
Georgetown, KY 40324-1764
Mailing address
149 Brittany LN
Georgetown, KY 40324-8581
Phone (859) 912-9805
Other providers in Georgetown, KY
- John W Black Jr.
- Matthew Blake
- Carrie Beth Blankenship
- Angie Michele Blanton
- Peyton Madison Blanton
- Allison Claire-Marie Blevins
- Bliss Behaviorall Health
- Blue Cypress IV and Wellness
- Bluegrass Behavioral School for Children
- Bluegrass Business Health
All providers in Georgetown, KY · Occupational Therapist in Kentucky
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 8, 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.