Provider Demographics
NPI:1710352406
Name:ONEY, KELCIE LAUREN (OTR)
Entity Type:Individual
Prefix:MRS
First Name:KELCIE
Middle Name:LAUREN
Last Name:ONEY
Suffix:
Gender:F
Credentials:OTR
Other - Prefix:MISS
Other - First Name:KELCIE
Other - Middle Name:LAUREN
Other - Last Name:SMITH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1 BULLDOG DR
Mailing Address - Street 2:
Mailing Address - City:CARTHAGE
Mailing Address - State:TX
Mailing Address - Zip Code:75633-2370
Mailing Address - Country:US
Mailing Address - Phone:903-694-7541
Mailing Address - Fax:
Practice Address - Street 1:1 BULLDOG DR
Practice Address - Street 2:
Practice Address - City:CARTHAGE
Practice Address - State:TX
Practice Address - Zip Code:75633-2370
Practice Address - Country:US
Practice Address - Phone:903-694-7541
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-12-06
Last Update Date:2021-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX213657224Z00000X
TX121524225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist
No224Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapy Assistant