Otten, Kelsey
Otten, Kelsey is an individual health care provider with primary practice located at 11213 Lebanon Rd , Mt Juliet TN 37122-5545. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Otten, Kelsey can be contacted via phone (615) 773-0660.Contact Information
Primary practice address
11213 Lebanon Rd
Mt Juliet TN 37122-5545
Phone: (615) 773-0660
Fax: (615) 773-0663
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X |
Profile Details
| NPI number | 1629593710 |
|---|---|
| LBN Legal business name | Otten, Kelsey |
| Credentials | DPT |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 9th, 2017 |
| Last updated | Jul 21st, 2022 - about 3 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1629593710 | NPPES |
| Tennessee | MEDICAID | 0446631 |
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