Provider Demographics
NPI:1639882111
Name:DANCHERTSEN, KELSIE JANE (OTR/L)
Entity Type:Individual
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First Name:KELSIE
Middle Name:JANE
Last Name:DANCHERTSEN
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Gender:F
Credentials:OTR/L
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Mailing Address - Street 1:2495 MAPLEWOOD DR N STE 313
Mailing Address - Street 2:
Mailing Address - City:MAPLEWOOD
Mailing Address - State:MN
Mailing Address - Zip Code:55109-1985
Mailing Address - Country:US
Mailing Address - Phone:651-770-8884
Mailing Address - Fax:651-770-8151
Practice Address - Street 1:2495 MAPLEWOOD DR N STE 313
Practice Address - Street 2:
Practice Address - City:MAPLEWOOD
Practice Address - State:MN
Practice Address - Zip Code:55109-1985
Practice Address - Country:US
Practice Address - Phone:651-770-8884
Practice Address - Fax:651-770-8151
Is Sole Proprietor?:No
Enumeration Date:2022-12-29
Last Update Date:2022-12-29
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatrics