Provider Demographics
NPI:1366866915
Name:KNIFE, KELSI (OTR)
Entity Type:Individual
Prefix:MRS
First Name:KELSI
Middle Name:
Last Name:KNIFE
Suffix:
Gender:F
Credentials:OTR
Other - Prefix:MISS
Other - First Name:KELSI
Other - Middle Name:
Other - Last Name:HAYS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:12710 RESEARCH BLVD
Mailing Address - Street 2:SUITE 395
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78759-4379
Mailing Address - Country:US
Mailing Address - Phone:800-280-4316
Mailing Address - Fax:800-280-4316
Practice Address - Street 1:12710 RESEARCH BLVD
Practice Address - Street 2:SUITE 395
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78759-4379
Practice Address - Country:US
Practice Address - Phone:800-280-4316
Practice Address - Fax:800-280-4316
Is Sole Proprietor?:No
Enumeration Date:2014-02-18
Last Update Date:2014-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX115915225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist