Provider Demographics
NPI:1992201750
Name:HALL, CHELSEY (PT, DPT)
Entity Type:Individual
Prefix:
First Name:CHELSEY
Middle Name:
Last Name:HALL
Suffix:
Gender:F
Credentials:PT, DPT
Other - Prefix:
Other - First Name:CHELSEY
Other - Middle Name:
Other - Last Name:KLIMEK
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PT, DPT
Mailing Address - Street 1:1311 WALTERS PT
Mailing Address - Street 2:
Mailing Address - City:MONUMENT
Mailing Address - State:CO
Mailing Address - Zip Code:80132-8633
Mailing Address - Country:US
Mailing Address - Phone:920-634-5157
Mailing Address - Fax:
Practice Address - Street 1:2509 COUNTY HIGHWAY I
Practice Address - Street 2:
Practice Address - City:CHIPPEWA FALLS
Practice Address - State:WI
Practice Address - Zip Code:54729-2785
Practice Address - Country:US
Practice Address - Phone:715-723-9138
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-04-02
Last Update Date:2021-12-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COPTL.0014762225100000X
WI15357-24225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist