Healthcare Provider Details

I. General information

NPI: 1316854789
Provider Name (Legal Business Name): KELSEY SCHMELING DPT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/24/2026
Last Update Date: 08/24/2026
Certification Date: 08/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12303 DE PAUL DR
BRIDGETON MO
63044
US

IV. Provider business mailing address

3626 HUMPHREY ST
SAINT LOUIS MO
63116-4822
US

V. Phone/Fax

Practice location:
  • Phone: 314-344-6000
  • Fax:
Mailing address:
  • Phone: 224-221-0608
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number2026040250
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: