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NPI Code Detail

MEDICARE: KELSIE MARIE CORRIGAN

MEDICARE:   KELSIE MARIE CORRIGAN
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
12255A2300XAthletic TrainerOH

General Provider Information

NPI Number : 1326993502
Entity Type Code : Individual
Provider Name (Legal Business Name) : KELSIE MARIE CORRIGAN
Provider Business Mailing Address
First Line : 297 N LYMAN ST
Second Line :
City : WADSWORTH
State : OH
Zip : 44281-1819
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 297 N LYMAN ST
Second Line :
City : WADSWORTH
State : OH
Zip : 44281-1819
Country : US
Telephone Number : 330-481-0834
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/03/2026
Last Update Date : 03/03/2026

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Directions to “ KELSIE MARIE CORRIGAN ” Practice Location

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