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

Kelsey Tysick, COTA/L

Individual provider Occupational Therapy Assistant · NPI 1689134389

Kelsey Tysick, COTA/L is an Occupational Therapy Assistant in Louisville, Kentucky. Licensed in Michigan. Registered with an NPI since 2019.

Licensed in
MI
In the registry since
2019
What do these letters mean?
COTA/L — Certified Occupational Therapy Assistant, Licensed
An occupational therapy assistant who is both certified and state licensed.

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Practice location Address checks out

2701 Chestnut Station Ct
Louisville, KY 40299-6395
Phone: (800) 335-1060
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Therapy Assistant (primary) Taxonomy 224Z00000X · Licence 5202008199 (MI)

Record details

NPI number1689134389
Entity typeIndividual (Type 1)
GenderFemale
Credentials COTA/L
Sole proprietorNo
NPI enumeratedMarch 20, 2019
Last updated in NPPESMarch 20, 2019

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