Provider Demographics
NPI:1760976344
Name:KAPPEL- LANDRY, CHELSEA MARIE (OTR)
Entity Type:Individual
Prefix:MRS
First Name:CHELSEA
Middle Name:MARIE
Last Name:KAPPEL- LANDRY
Suffix:
Gender:F
Credentials:OTR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:855 S 8TH ST
Mailing Address - Street 2:
Mailing Address - City:BEAUMONT
Mailing Address - State:TX
Mailing Address - Zip Code:77701-4603
Mailing Address - Country:US
Mailing Address - Phone:409-838-6568
Mailing Address - Fax:
Practice Address - Street 1:855 S 8TH ST
Practice Address - Street 2:
Practice Address - City:BEAUMONT
Practice Address - State:TX
Practice Address - Zip Code:77701-4603
Practice Address - Country:US
Practice Address - Phone:094-838-6568
Practice Address - Fax:094-838-1337
Is Sole Proprietor?:No
Enumeration Date:2018-06-18
Last Update Date:2021-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX119225225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist