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NPI Code Detail

MEDICARE: KELSI NICOLE CHAZIN PT, DPT

MEDICARE:   KELSI NICOLE CHAZIN  PT, DPT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225100000XPhysical TherapistCP048327TCO
2225100000XPhysical TherapistCP053714TOR
3225100000XPhysical TherapistPT028597PA
4225100000XPhysical Therapist40QA01973700NJ

General Provider Information

NPI Number : 1427654995
Entity Type Code : Individual
Provider Name (Legal Business Name) : KELSI NICOLE CHAZIN PT, DPT
Provider Business Mailing Address
First Line : 1200 CORPORATE DR STE 400
Second Line :
City : HOOVER
State : AL
Zip : 35242-5424
Country : US
Telephone Number : 423-238-7217
Fax Number :
Provider Business Practice Location Address
First Line : 274 UNION BLVD STE 100
Second Line :
City : LAKEWOOD
State : CO
Zip : 80228-1836
Country : US
Telephone Number : 303-232-0355
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/09/2020
Last Update Date : 03/02/2026

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Directions to “ KELSI NICOLE CHAZIN PT, DPT” Practice Location

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