MEDICARE: KELSEY CHRISTINE EVERHART LAT, ATC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2255A2300X	Athletic Trainer	AT5852	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	22	OTHER		RESPIRATORY, REHABILITATIVE & RESTORATIVE SERVICE PROVIDERS

General Provider Information

NPI Number	:	1205243094
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KELSEY CHRISTINE EVERHART LAT, ATC

Provider Business Mailing Address
First Line	:	6959 ELAINE AVE NW
Second Line	:
City	:	NORTH CANTON
State	:	OH
Zip	:	44720-6620
Country	:	US
Telephone Number	:	330-323-6562
Fax Number	:

Provider Business Practice Location Address
First Line	:	6959 ELAINE AVE NW
Second Line	:
City	:	NORTH CANTON
State	:	OH
Zip	:	44720-6620
Country	:	US
Telephone Number	:	330-323-6562
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/14/2014
Last Update Date	:	07/14/2014

Similar Medicare Providers

1174831218 — CANTON PHYSICAL MEDICARE, LLC
Practice Location Address:

2050 CUMMING HWY , SUITE 100
CANTON, GA
30114-8614

Practice Phone: 770-345-9600
Practice Fax:

1619365525 — BRENDA WATTS RN
Practice Location Address:

6313 LEGEND FALLS ST
NORTH LAS VEGAS, NV
89081-6620

Practice Phone: 702-945-7570
Practice Fax: 702-852-5747

1396196317 — EVROY HENRY
Practice Location Address:

6620 SW 18TH ST
NORTH LAUDERDALE, FL
33068-5210

Practice Phone: 954-607-9298
Practice Fax:

1023662749 — YOHANA BOTERO
Practice Location Address:

6620 NORTH NEBRASKA AVE
TAMPA, FL
33604

Practice Phone: 813-955-2114
Practice Fax:

1619809555 — MINDA MCPIKE COTA/L
Practice Location Address:

6057 STRIP AVE NW
NORTH CANTON, OH
44720-9207

Practice Phone: 330-492-8136
Practice Fax:

1407487135 — MRS. JULIE ANN GOUGH FPS
Practice Location Address:

1303 W MAPLE ST STE 100
NORTH CANTON, OH
44720-2858

Practice Phone: 330-878-3771
Practice Fax:

Directions to “ KELSEY CHRISTINE EVERHART LAT, ATC” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.