Provider Demographics
NPI:1699168278
Name:FORBRINGER, KELSEY LAUREN (MSOT, OTR/L)
Entity type:Individual
Prefix:
First Name:KELSEY
Middle Name:LAUREN
Last Name:FORBRINGER
Suffix:
Gender:F
Credentials:MSOT, OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:9328 LITZSINGER RD
Mailing Address - Street 2:
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63144-2128
Mailing Address - Country:US
Mailing Address - Phone:815-861-6458
Mailing Address - Fax:
Practice Address - Street 1:7770 E ILIFF AVE STE C
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80231-5326
Practice Address - Country:US
Practice Address - Phone:303-333-8360
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-03-06
Last Update Date:2021-04-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COOT.0005039225XP0200X
225XP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatrics