Individual
GARRETT KELSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
302 E PARK ST, DANVERS, IL 61732-9330
(309) 242-1242
Mailing address
302 E PARK ST, DANVERS, IL 61732-9330
(309) 242-1242
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
096.004558
IL
Other
Enumeration date
10/10/2022
Last updated
10/10/2022
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