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

Kelsey Shae Bloemker

Individual provider Physical Therapy Assistant · NPI 1912669813

Kelsey Shae Bloemker is a Physical Therapy Assistant in Cisne, Illinois. Licensed in Illinois. Registered with an NPI since 2021.

Licensed in
IL
In the registry since
2021

Practice location Address checks out

107 Watkins St
Cisne, IL 62823
Phone: (618) 673-2177
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X · Licence 160008269 (IL)

Record details

NPI number1912669813
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedOctober 7, 2021
Last updated in NPPESOctober 7, 2021
Certification dateSeptember 27, 2021
Mailing address9619 E 400th Ave, Mason, IL 62443-2325