Individual
MRS. KELLEY RENEE FISCHELS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
2300 SWAN LAKE BLVD, SUITE 103, INDEPENDENCE, IA 50644-9707
(319) 334-5155
(319) 334-6166
Mailing address
2409 JAMESTOWN AVE, INDEPENDENCE, IA 50644-9848
(319) 334-7140
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
00609
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
37309
WELLMARK
IA
Enumeration date
03/09/2007
Last updated
02/26/2013
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