Provider Demographics
NPI:1568243616
Name:SHOEMAKER, KELSEY RENEE (OTR/L)
Entity Type:Individual
Prefix:
First Name:KELSEY
Middle Name:RENEE
Last Name:SHOEMAKER
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6 BUCKWALTER RD
Mailing Address - Street 2:
Mailing Address - City:NORRISTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:19403-1932
Mailing Address - Country:US
Mailing Address - Phone:484-868-4441
Mailing Address - Fax:
Practice Address - Street 1:4036 BETHLEHEM PIKE
Practice Address - Street 2:
Practice Address - City:TELFORD
Practice Address - State:PA
Practice Address - Zip Code:18969-1125
Practice Address - Country:US
Practice Address - Phone:215-721-1871
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-10-12
Last Update Date:2023-10-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist