Most Relevant Information
Provider Data
| NPI Number: | 1003653445 |
| Provider Name: | KELCIE DAVIS ATR-BC, LPAT |
| Entity Type: | Individual |
| Taxonomy Code: | 221700000X |
| Specialty: | Art Therapist |
| License Number: | 277306 |
Most Important Dates
| Enumeration Date: | 07/12/2024 |
| Last Updated: | 08/28/2024 |
Provider Practice Location
110 VILLAGE DR
ELIZABETHTOWN
KY
427012423
Practice Location Phone/Fax
| Phone: | 8127195300 |
| Fax: |
Provider Mailing Location
7709 SIERRA TRL
LOUISVILLE
KY
402144634
Provider Mailing Phone/Fax
| Phone: | 8127195300 |
| Fax: |