Individual
MRS. KELLEY M DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BSAT, ATC
Contact information
Practice address
1677 ROUTE 65, ELLWOOD CITY, PA 16117-5217
(724) 752-2716
Mailing address
3322 3RD AVE, P.O. BOX 417, KOPPEL, PA 16136
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
RT003474
PA
Other
Enumeration date
02/20/2007
Last updated
07/08/2007
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