Individual
KELLY SCALA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AT, ATC
Contact information
Practice address
19501 OUTER DR, DEARBORN, MI 48124-1600
(248) 756-1343
Mailing address
23261 CLEVELAND ST, DEARBORN, MI 48124-2551
(248) 756-1343
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2601001044
MI
Other
Enumeration date
07/10/2019
Last updated
07/10/2019
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