Individual
MRS. KELLI SUSAN FREY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
002354
MO
171W00000X
Contractor
Primary
17-00806
KS
225X00000X
Occupational Therapist
Primary
002354
MO
225X00000X
Occupational Therapist
17-00806
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
002354
O.T. STATE LICENSE
MO
01
—
17-00806
O.T. STATE LICENSE
KS
Enumeration date
06/08/2007
Last updated
03/05/2026
Update your record
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