Healthcare Provider Details

I. General information

NPI: 1780509091
Provider Name (Legal Business Name): KELSEY RAE SCHLECHT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/13/2026
Last Update Date: 08/13/2026
Certification Date: 08/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1220 W BENJAMIN AVE
NORFOLK NE
68701-2769
US

IV. Provider business mailing address

503 N 4TH ST APT 2
NORFOLK NE
68701-4014
US

V. Phone/Fax

Practice location:
  • Phone: 402-371-9707
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225200000X
TaxonomyPhysical Therapy Assistant
License Number2249
License Number StateNE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: