Healthcare Provider Details

I. General information

NPI: 1811767437
Provider Name (Legal Business Name): KELSEY SEITZ OT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/04/2024
Last Update Date: 02/02/2024
Certification Date: 02/02/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7910 BEECHMONT AVE
CINCINNATI OH
45255-4210
US

IV. Provider business mailing address

5649 BEE LN
MILFORD OH
45150-1813
US

V. Phone/Fax

Practice location:
  • Phone: 513-232-2663
  • Fax: 859-817-7848
Mailing address:
  • Phone: 513-479-6592
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License NumberOT012766
License Number StateOH
# 2
Primary TaxonomyN
Taxonomy Code225XH1200X
TaxonomyHand Occupational Therapist
License Number
License Number StateNULL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: