Provider Demographics
NPI:1932600624
Name:FRIESZ, KELSIE CHRISTINE (OTR)
Entity Type:Individual
Prefix:MRS
First Name:KELSIE
Middle Name:CHRISTINE
Last Name:FRIESZ
Suffix:
Gender:F
Credentials:OTR
Other - Prefix:
Other - First Name:KELSIE
Other - Middle Name:CHRISTINE
Other - Last Name:TURMAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:OTR
Mailing Address - Street 1:1652 KELLER PARKWAY
Mailing Address - Street 2:STE 100
Mailing Address - City:KELLER
Mailing Address - State:TX
Mailing Address - Zip Code:76248-3876
Mailing Address - Country:US
Mailing Address - Phone:817-562-3111
Mailing Address - Fax:817-562-3114
Practice Address - Street 1:1652 KELLER PARKWAY
Practice Address - Street 2:STE 100
Practice Address - City:KELLER
Practice Address - State:TX
Practice Address - Zip Code:76248-3876
Practice Address - Country:US
Practice Address - Phone:817-562-3111
Practice Address - Fax:817-562-3114
Is Sole Proprietor?:No
Enumeration Date:2018-02-27
Last Update Date:2021-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO0005356225X00000X
TX118965225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist