Individual provider · Type 1 NPI

Kellsie A. Edgcomb, OT

Occupational Therapist · Utica, IL

NPI number 1376217216 Active

Practice location

552 E US Highway 52
Utica, IL 61373-9766

Other practice locations

  • 2122 Troy Rd Ste 120, Edwardsville, IL 62025-2540 · (618) 800-4620

Specialties and licenses

TaxonomyCodeLicense
Behavior Technician 106S00000XNone listed
Occupational Therapist Primary 225X00000X056016950 (IL)

Occupational Therapist: An occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the World Federation of Occupational Therapists (WFOT), or an equivalent international occupational therapy education program; has successfully completed a period of supervised fieldwork…

About NPI 1376217216

Kellsie A. Edgcomb, OT's National Provider Identifier is 1376217216, issued on Aug 4, 2021. The primary taxonomy on file is Occupational Therapist (225X00000X), and the practice location is in Utica, IL. The record was last updated on Jun 29, 2026.