Individual
HANNAH KELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS ATC
Contact information
Practice address
1691 INNOVATION DR, BLACKSBURG, VA 24060-6828
(540) 232-8405
Mailing address
142 MONROE ST, RADFORD, VA 24141-2529
(630) 877-0652
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
0126003136
VA
2255A2300X
Athletic Trainer
096.004017
IL
Other
Enumeration date
04/07/2019
Last updated
04/07/2019
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