Individual
KELLY TRUST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
4151 N TRAVERSE MOUNTAIN BLVD APT 15-303, LEHI, UT 84043-2646
(832) 384-6127
Mailing address
4151 N TRAVERSE MOUNTAIN BLVD APT 15-303, LEHI, UT 84043-2646
(832) 384-6127
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
10272228-4810
UT
Other
Enumeration date
06/15/2017
Last updated
07/21/2022
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