Fieseler, Kelly Christine

Fieseler, Kelly Christine is an individual health care provider with primary practice located at 23580 Shaker Blvd , Shaker Heights OH 44122-2605. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthopedic, which is considered as her primary health care specialty. Fieseler, Kelly Christine can be contacted via phone (216) 491-8407.

Contact Information

Primary practice address
23580 Shaker Blvd Shaker Heights OH 44122-2605
Phone: (216) 491-8407
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthopedic 2251X0800X PT9611 Ohio

Profile Details

NPI number 1497793293
LBN Legal business name Fieseler, Kelly Christine
Credentials Master of Physical Therapy (MPT)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 3rd, 2006
Last updated Jun 12th, 2015 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1497793293 NPPES
Ohio Other 34190772200 WORKERS COMPENSATION
Ohio Other 341907722 WORKERS COMPENSATION
Ohio MEDICAID 2382505 WORKERS COMPENSATION
Ohio Other 000000247980 WORKERS COMPENSATION

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