Provider Demographics
NPI:1437102860
Name:BRYANT, KELSEY KEARNEY (OTR/L)
Entity Type:Individual
Prefix:MRS
First Name:KELSEY
Middle Name:KEARNEY
Last Name:BRYANT
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:
Other - First Name:KELSEY
Other - Middle Name:ANN
Other - Last Name:KEARNEY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1385 CHELSEY LN
Mailing Address - Street 2:
Mailing Address - City:ALPHARETTA
Mailing Address - State:GA
Mailing Address - Zip Code:30004-1183
Mailing Address - Country:US
Mailing Address - Phone:404-693-9098
Mailing Address - Fax:404-693-9070
Practice Address - Street 1:3400 OLD MILTON PKWY # A
Practice Address - Street 2:SUITE 350
Practice Address - City:ALPHARETTA
Practice Address - State:GA
Practice Address - Zip Code:30005-3707
Practice Address - Country:US
Practice Address - Phone:404-693-9098
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-05-18
Last Update Date:2013-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA3574225XH1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XH1200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistHand