Individual
ALYSSA KELSEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
901 CALEDONIA ST, LA CROSSE, WI 54603-2616
(952) 746-5350
Mailing address
802 ROBERT PL, ONALASKA, WI 54650-2322
(608) 799-7877
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
224Z00000X
Occupational Therapy Assistant
—
—
Other
Enumeration date
12/18/2023
Last updated
05/06/2024
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