Individual
KELSEY SCHAEFER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
1320 S GREEN BAY RD, MOUNT PLEASANT, WI 53406-4402
(262) 886-3431
Mailing address
8822 SHADY OAK TRL, MOUNT PLEASANT, WI 53406-3033
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
1722-39
WI
225X00000X
Occupational Therapist
Primary
6259-26
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
41205000
—
WI
Enumeration date
06/18/2018
Last updated
06/18/2018
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