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KELSI TIDBALL
NPI 1093121014
Specialist in Eugene, OR

Active since July 10, 2014
1310 COBURG RD STE 5, EUGENE, OR 97401(541) 345-7532(541) 345-6692 Get Directions Write a Review

NPPES record last updated: July 10, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kelsi Tidball NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KELSI TIDBALL (NPI 1093121014) is an individual specialist in Eugene, Oregon, licensed in Oregon (16665) and active in the NPI registry since July 2014.

NPPES Registry Identity

NPI1093121014
Entity TypeIndividualFemale
Primary Taxonomy174400000X
Provider Legal NameKELSI TIDBALL
Location Address1310 COBURG RD STE 5Eugene, OR 97401-5200
Mailing Address1310 Coburg Rd Ste 5Eugene, OR 97401-5200 · (541) 345-7532 · Fax (541) 345-6692
Phone(541) 345-7532
Fax(541) 345-6692
Sole ProprietorNo
Enumeration DateJuly 10, 2014
✔ NPI 1093121014 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in OR · 16665
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
1310 COBURG RD STE 5, Eugene, OR 97401
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Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CYNTHIA NGOC KHANH HO PT
Physical Therapist
1310 COBURG RD STE 5
EUGENE, OR 97401
Lane County (541) 345-7532
PHYSICAL THERAPY SERVICES
Physical Therapy Assistant
1310 COBURG RD STE 5
EUGENE, OR 97401
Lane County (541) 345-7532
MS. ANDREA LEISEROWITZ MPT, CLT
Physical Therapist
1310 COBURG RD STE 5
EUGENE, OR 97401
Lane County (541) 683-2743
MR. JOSEPH K BRAZILL DPT
Physical Therapist
1310 COBURG RD STE 5
EUGENE, OR 97401
Lane County (541) 345-7532
GINA MONTEL LMT
Massage Therapist
1310 COBURG RD STE 5
EUGENE, OR 97401
Lane County (541) 345-7532
LAURA POWELL MS, PT
Physical Therapist
1310 COBURG RD STE 5
EUGENE, OR 97401
Lane County (541) 345-7532
TRISTEN RODRIGUEZ ESCANO DPT
Physical Therapist
1310 COBURG RD STE 5
EUGENE, OR 97401
Lane County (541) 345-7532
CRISTOFER OURO RUBINI L.M.T.
Massage Therapist
1310 COBURG RD STE 5
EUGENE, OR 97401
Lane County (541) 345-7532

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kelsi Tidball's NPI number?

The NPI number for Kelsi Tidball is 1093121014. It was assigned to this individual provider in the NPPES registry on July 10, 2014.

Where is Kelsi Tidball located?

Kelsi Tidball practices at 1310 Coburg Rd Ste 5, Eugene, OR 97401. The listed phone number is (541) 345-7532.

What is Kelsi Tidball's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Kelsi Tidball was last updated on July 10, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.