Provider Demographics
NPI:1841566239
Name:FOLDING, KELSI (OTR/L)
Entity Type:Individual
Prefix:
First Name:KELSI
Middle Name:
Last Name:FOLDING
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:
Other - First Name:KELSI
Other - Middle Name:
Other - Last Name:HESS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:OTR/L
Mailing Address - Street 1:13810 E RED BIRD RD
Mailing Address - Street 2:
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85262-7442
Mailing Address - Country:US
Mailing Address - Phone:970-274-9443
Mailing Address - Fax:
Practice Address - Street 1:RISE EARLY INTERVENTION SERVICES LLC
Practice Address - Street 2:4554 E INVERNESS AVE, STE C3
Practice Address - City:MESA
Practice Address - State:AZ
Practice Address - Zip Code:85206
Practice Address - Country:US
Practice Address - Phone:480-295-4925
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-03-29
Last Update Date:2024-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ5072225X00000X
AZ9383225XP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatrics
No225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ686485Medicaid