Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Kelci Wysor-Tisch

Individual provider Speech-Language Pathologist · NPI 1699411876

Kelci Wysor-Tisch is a Speech-Language Pathologist in Justin, Texas. Practices as a sole proprietor. Licensed in Texas.

Licensed in
TX
In the registry since
2022
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Practice location Address checks out

2001 Texan Dr
Justin, TX 76247-8791
Phone: (815) 215-0000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Speech-Language Pathologist (primary) Taxonomy 235Z00000X · Licence 117012 (TX)

Record details

NPI number1699411876
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedMay 10, 2022
Last updated in NPPESAugust 5, 2026
Certification dateAugust 5, 2026

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