Provider Demographics
NPI:1598271199
Name:ANDREWS, KELSEY RAE (DPT)
Entity Type:Individual
Prefix:DR
First Name:KELSEY
Middle Name:RAE
Last Name:ANDREWS
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:DR
Other - First Name:KELSEY
Other - Middle Name:RAE
Other - Last Name:WHITE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DPT
Mailing Address - Street 1:2300 WALNUT ST APT 126
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80205-2343
Mailing Address - Country:US
Mailing Address - Phone:405-245-4513
Mailing Address - Fax:
Practice Address - Street 1:8540 SCARBOROUGH DR STE 200
Practice Address - Street 2:
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80920-7513
Practice Address - Country:US
Practice Address - Phone:719-630-7500
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-12-18
Last Update Date:2018-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COPTL.0015158208100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation