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Individual
KELLI ANNA RIVERA
Active
Individual
KELLI ANNA RIVERA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LAT, ATC
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
100114
AZ
2255A2300X
Athletic Trainer
2400-39
WI
2255A2300X
Athletic Trainer
S536-5019-7635-05
WI
Other
Enumeration date
02/13/2017
Last updated
08/06/2026
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