Individual
ELISABETH KELLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
1100 E 3RD ST STE G-102, CHATTANOOGA, TN 37403-2241
(423) 778-6784
Mailing address
1100 E 3RD ST STE G-102, CHATTANOOGA, TN 37403-2241
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
07/03/2019
Last updated
11/10/2021
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