Provider Demographics
NPI:1295895019
Name:MESSING, KELLI JEAN (OT)
Entity type:Individual
Prefix:MRS
First Name:KELLI
Middle Name:JEAN
Last Name:MESSING
Suffix:
Gender:F
Credentials:OT
Other - Prefix:MISS
Other - First Name:KELLI
Other - Middle Name:JEAN
Other - Last Name:CREASY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:OT
Mailing Address - Street 1:201 CREST LN
Mailing Address - Street 2:
Mailing Address - City:POTTSTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:19465-7921
Mailing Address - Country:US
Mailing Address - Phone:484-624-4808
Mailing Address - Fax:
Practice Address - Street 1:800 W MINER ST
Practice Address - Street 2:
Practice Address - City:WEST CHESTER
Practice Address - State:PA
Practice Address - Zip Code:19382-2149
Practice Address - Country:US
Practice Address - Phone:610-738-3611
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-11
Last Update Date:2009-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ46TR00398900225X00000X
PAOC010437225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist