Provider Demographics
NPI:1003482480
Name:CRABTREE, KELSEY MARIE (PT)
Entity Type:Individual
Prefix:
First Name:KELSEY
Middle Name:MARIE
Last Name:CRABTREE
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2601 W FRONT VIEW CRES APT 223
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80211-5117
Mailing Address - Country:US
Mailing Address - Phone:636-667-2930
Mailing Address - Fax:
Practice Address - Street 1:6800 LEETSDALE DR
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80224-1588
Practice Address - Country:US
Practice Address - Phone:303-331-9963
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-05-27
Last Update Date:2024-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2020004351225100000X
COPTL.0019408225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist