Kelsie Kay Platteter, PTA
Individual provider Active NPI Physical Therapy Assistant · Boswell, IN
NPI 1982105847 · NPPES record last updated Feb 26, 2018
Key facts
- NPI
- 1982105847
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapy Assistant 225200000X
- License
- 160008042 (IL)
- Practice address
- 209 N Center St
Boswell, IN 47921-8517 - Phone
- (217) 772-1297
- NPI assigned
- Feb 26, 2018
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|
| 160008042 | IL | MD | Physical Therapy Assistant |
| 2135418 | TX | MD | Physical Therapy Assistant |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | 2135418 | TX | |
| Physical Therapy Assistant | 225200000X | 160008042 | IL | Yes |
Addresses
Primary practice location
209 N Center St
Boswell, IN 47921-8517
Mailing address
209 N Center St
Boswell, IN 47921-8517
Phone (217) 772-1297
Other providers in Boswell, IN
All providers in Boswell, IN · Physical Therapy Assistant in Indiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 26, 2018. 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.