Individual
KELSIE SCHAEFER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, OTR/L, PMH-C
Contact information
Practice address
2625 N 19TH ST, BISMARCK, ND 58503-0574
(701) 222-3175
(701) 222-3186
Mailing address
5308 BEAVER CREEK RD, BISMARCK, ND 58504-9275
(701) 527-0928
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
1600
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1480452
—
ND
Enumeration date
08/04/2020
Last updated
07/31/2023
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