DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MS. AMANDA LYNN KETELSEN, OTR

Active Sole Proprietor

MS. AMANDA LYNN KETELSEN, OTR is a Occupational Therapist healthcare provider located in COAL VALLEY, Illinois. NPI 1851597983 is currently active in the NPPES registry. Verify at CMS.

Occupational Therapist · COAL VALLEY, IL

Registration Details

NPI Number
1851597983
Provider Type
Individual
Gender
Female
NPI Issued
Jun 25, 2007 (18.953673451383 yrs)
Last Updated
Jul 8, 2007
License
01734 (IA)
Sole Proprietor
Yes

Practice Information

Address
11210 95TH ST
COAL VALLEY, IL, 612409360
Browse IL providers · Browse ZIP 61240
Phone
3097993161
Primary Specialty
Occupational Therapist
225X00000X
Additional Specialty
Occupational Therapist

Other Occupational Therapist Providers in COAL VALLEY, IL

Name Credential NPI
MRS. JENNIFER MARIE KLOCKE OTR/L 1770765091
MRS. KAREN ANN DHANENS OTR L 1831354364
MRS. SHELLENE SUZANNE FISCHER OTR/L 1659528503
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.