Kelsey M Michaelis

NPI #1932472156 in Lombard, Illinois

Provider Information

NPI Number: 1932472156
Entity Type: Individual
Name: Kelsey M Michaelis
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Developmental Therapist
Enumeration Date: Feb 18, 2012
Last Updated: Feb 18, 2012

Practice Location

Address: 2211 S STEWART AVE
Address 2: UNIT 3A
City: Lombard
State: Illinois
ZIP Code: 60148-5510
Phone: (614) 804-3654

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Developmental Therapist	222Q00000X	Primary

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