Provider Demographics
NPI:1164179388
Name:PASCHALL, KELSI MARIE (MS, OTR/L)
Entity Type:Individual
Prefix:MRS
First Name:KELSI
Middle Name:MARIE
Last Name:PASCHALL
Suffix:
Gender:F
Credentials:MS, OTR/L
Other - Prefix:MS
Other - First Name:KELSI
Other - Middle Name:MARIE
Other - Last Name:BICKEL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MS, OTR/L
Mailing Address - Street 1:3008 BELMONT AVE
Mailing Address - Street 2:
Mailing Address - City:READING
Mailing Address - State:PA
Mailing Address - Zip Code:19609-1404
Mailing Address - Country:US
Mailing Address - Phone:610-301-5007
Mailing Address - Fax:
Practice Address - Street 1:90 GEORGE ST
Practice Address - Street 2:
Practice Address - City:READING
Practice Address - State:PA
Practice Address - Zip Code:19605-3161
Practice Address - Country:US
Practice Address - Phone:610-775-1431
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-03-08
Last Update Date:2024-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOC015699225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist