MICAELA KELSO-OTIENO (NPI# 1386176428) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386176428 |
| Entity Type | Individual |
| Full Name | MICAELA KELSO-OTIENO |
| Other Name | MICAELA KELSO |
| Credential | ATC |
| Practice Address |
1014 Boswell Ave Crete NE 68333-2426 |
| Mailing Address |
580 E 1st St Crete NE 68333-3101 |
| Practice Telephone | 4028268328 |
| Enumeration Date | 2017-03-29 |
| Last Update Date | 2017-03-29 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
481 | NE | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
1014 BOSWELL AVE |
| City | CRETE |
| State | NE |
| Zip Code | 68333-2426 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689624371 | Stefanie Kay Kindt | Specialist | 1014 Boswell Ave, Crete, NE 68333-2421 | 2006-05-11 |
| 1104225796 | Benjamin Piper | Counselor | 1014 Boswell Ave, Crete, NE 68333-2426 | 2014-08-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841833597 | Mackenzie Riedel | Psychologist | Crete Public Schools, 920 Linden Ave, Crete, NE 68333 | 2019-10-25 |
| 1205208725 | Kristy Denise Miller | Specialist | 309 East 11th Street, Crete, NE 68333 | 2015-10-23 |
| 1063733988 | Seth Lauterbach | Physician Assistant | 1017 Grove Avenue, Crete, NE 68333 | 2010-06-15 |
| 1700821576 | Victoria R Rethmeier | Dietitian, Registered | 2910 Betten Drive, Crete, NE 68333 | 2006-06-17 |
| 1841246170 | Crete Physical Therapy, LLC | Physical Therapist | 1105 E Highway 33, Crete, NE 68333 | 2006-05-26 |
| 1699010702 | Oscar Samuel Lucar | Physician Assistant | 2910 Betten Dr, Crete, NE 68333 | 2012-11-29 |
| 1528140555 | Troy Lee Miller | Family Medicine | 2910 Betten Drive, Crete, NE 68333 | 2006-10-19 |
| 1518911379 | Richard Allen Felsing | Chiropractor | 1314 Main Ave, Crete, NE 68333-1504 | 2006-05-19 |
| 1831283316 | Bkm Inc | Pharmacy | 1302 Linden Ave, Crete, NE 68333-1554 | 2006-10-02 |
| 1861622094 | Traci Ann Phipps | Massage Therapist | 1542 Hawthorne Ave, Crete, NE 68333-1627 | 2009-07-22 |
| Find all providers in zip 68333 | ||||
| Taxonomy Code | 2255A2300X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Specialist/Technologist |
| Specialization | Athletic Trainer |
| Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-level employment requirements are a bachelor’s degree with a major in athletic training from an accredited university or college. A majority of athletic trainers hold advanced degrees. National board certification is generally required as a condition of state licensure and employment. Most states regulate athletic trainers, and they practice within the scope of that license or regulation. Clinical practice includes emergency care, rehabilitation, reconditioning, therapeutic exercise, wellness programs, exercise physiology, kinesiology, biomechanics, nutrition, psychology and health care administration. |
| Notes: Source: National Athletic Trainers’ Association (www.NATA.org) [1/1/2006: modified definition, modified source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336508134 | Evan Teske | Specialist/Technologist | 311 Milburn Ave, Crete, IL 60417-2228 | 2016-02-22 |
| 1184020026 | Keith Allen Miller II | Specialist/Technologist | 419 Herman St, Crete, IL 60417-2905 | 2014-11-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972101616 | Muriel Kuhl | Specialist/Technologist | 19905 Chicago St, Elkhorn, NE 68022-4903 | 2020-10-14 |
| 1760099014 | Rebecca Ann Ohlson | Specialist/Technologist | 1235 Sw Kelsey Cir, Lincoln, NE 68522-4446 | 2020-09-29 |
| 1033723291 | Donald J Gehr | Specialist/Technologist | 122 Heroes Blvd, Boys Town, NE 68010-7537 | 2020-09-04 |
| 1699388108 | Jennifer Hewitt | Specialist/Technologist | 21015 Cumberland Dr, Elkhorn, NE 68022-4110 | 2020-08-25 |
| 1679184675 | Chris Pavlik Jr. | Specialist/Technologist | 56591 892 Rd # Ne, Fordyce, NE 68736-5011 | 2020-08-12 |
| 1184235673 | Cheyenne Janicek | Specialist/Technologist | 7630 Ontario St, Omaha, NE 68124-4035 | 2020-08-10 |
| 1962012575 | Vanessa Derner | Specialist/Technologist | 710 Eagle View Dr, Papillion, NE 68133-2482 | 2020-08-07 |
| 1780293209 | Kyle Younkin | Specialist/Technologist | 1100 N 56th St, Lincoln, NE 68504-3251 | 2020-07-30 |
| 1235747080 | Mark Allen Kwikkel | Specialist/Technologist | 310 N 10th, Blair, NE 68008 | 2020-07-17 |
| 1922633882 | Amber Menard | Specialist/Technologist | 1013 Day Dr, Bellevue, NE 68005-4425 | 2020-03-10 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.