Provider Demographics
NPI:1265913040
Name:ZELI, KELSEY NICOL
Entity type:Individual
Prefix:
First Name:KELSEY
Middle Name:NICOL
Last Name:ZELI
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3501 N HIGHWAY 81
Mailing Address - Street 2:
Mailing Address - City:ANDERSON
Mailing Address - State:SC
Mailing Address - Zip Code:29621-4419
Mailing Address - Country:US
Mailing Address - Phone:864-622-6620
Mailing Address - Fax:
Practice Address - Street 1:3501 N HIGHWAY 81
Practice Address - Street 2:
Practice Address - City:ANDERSON
Practice Address - State:SC
Practice Address - Zip Code:29621-4419
Practice Address - Country:US
Practice Address - Phone:864-622-6629
Practice Address - Fax:857-504-1120
Is Sole Proprietor?:Yes
Enumeration Date:2018-08-28
Last Update Date:2022-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC11055225X00000X
SC4994225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist