Provider Demographics
NPI:1982467577
Name:DONALDSON, KELSI RAE (MED, BS, ATC)
Entity type:Individual
Prefix:
First Name:KELSI
Middle Name:RAE
Last Name:DONALDSON
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Gender:F
Credentials:MED, BS, ATC
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Mailing Address - Street 1:44 PIERREPONT AVE
Mailing Address - Street 2:
Mailing Address - City:POTSDAM
Mailing Address - State:NY
Mailing Address - Zip Code:13676-2294
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:44 PIERREPONT AVE
Practice Address - Street 2:
Practice Address - City:POTSDAM
Practice Address - State:NY
Practice Address - Zip Code:13676-2294
Practice Address - Country:US
Practice Address - Phone:314-526-7200
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-02-05
Last Update Date:2024-02-05
Deactivation Date:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer