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NPI Code Detail

MEDICARE: KELSEY HUGHES OT

MEDICARE: KELSEY HUGHES OT
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
1225X00000XOccupational Therapist31008515AIN
2106S00000XBehavior Technician

General Provider Information

NPI Number : 1215557111
Entity Type Code : Individual
Provider Name (Legal Business Name) : KELSEY HUGHES OT
Provider Business Mailing Address
First Line : 1353 E MAIN ST
Second Line :
City : BROWNSBURG
State : IN
Zip : 46112-1433
Country : US
Telephone Number : 317-520-4748
Fax Number : 888-498-5529
Provider Business Practice Location Address
First Line : 1353 E MAIN ST
Second Line :
City : BROWNSBURG
State : IN
Zip : 46112-1433
Country : US
Telephone Number : 317-520-4748
Fax Number : 888-498-5529
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/21/2020
Last Update Date : 03/18/2026

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