Healthcare Provider Details

I. General information

NPI: 1831773464
Provider Name (Legal Business Name): KELSEY MOTT ND, RN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/10/2021
Last Update Date: 12/09/2025
Certification Date: 12/09/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

205 MAIN ST UNIT 502
ASHLAND MA
01721-7222
US

IV. Provider business mailing address

205 MAIN ST UNIT 502
ASHLAND MA
01721-7222
US

V. Phone/Fax

Practice location:
  • Phone: 508-834-9884
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code175F00000X
TaxonomyNaturopath
License NumberND10010
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: