Provider Demographics
NPI:1891466553
Name:ONEIL, KELSEY SALADIN (DPT)
Entity type:Individual
Prefix:
First Name:KELSEY
Middle Name:SALADIN
Last Name:ONEIL
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:515 W 5TH ST
Mailing Address - Street 2:
Mailing Address - City:GRAND MARAIS
Mailing Address - State:MN
Mailing Address - Zip Code:55604-1349
Mailing Address - Country:US
Mailing Address - Phone:763-443-9291
Mailing Address - Fax:
Practice Address - Street 1:515 W 5TH ST
Practice Address - Street 2:
Practice Address - City:GRAND MARAIS
Practice Address - State:MN
Practice Address - Zip Code:55604-1349
Practice Address - Country:US
Practice Address - Phone:218-387-3276
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-09-22
Last Update Date:2025-12-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN12245225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist