Healthcare Provider Details

I. General information

NPI: 1649123456
Provider Name (Legal Business Name): KELSEY TOELLE
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/19/2026
Last Update Date: 02/19/2026
Certification Date: 02/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

800 FREEMASON PKWY
FRANKLIN IN
46131-2628
US

IV. Provider business mailing address

1556 BROOKFIELD CIR
FRANKLIN IN
46131-7662
US

V. Phone/Fax

Practice location:
  • Phone: 812-746-9448
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225200000X
TaxonomyPhysical Therapy Assistant
License Number06005634A
License Number StateIN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: