Individual
MRS. KELLY ANN CREASEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
7916 WILLIAMSON RD, ROANOKE, VA 24020-2002
(540) 362-6205
(540) 362-6553
Mailing address
PO BOX 9553, ROANOKE, VA 24020-1553
(540) 362-6205
(540) 362-6553
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
0126000316
VA
Other
Enumeration date
03/13/2012
Last updated
03/13/2012
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