Individual
AMANDA E. KELLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, ATC
Contact information
Practice address
1 COLLEGE ST, COLLEGE OF THE HOLY CROSS SPORTS MEDICINE, WORCESTER, MA 01610-2322
(508) 793-2627
Mailing address
1 COLLEGE ST, COLLEGE OF THE HOLY CROSS SPORTS MEDICINE, WORCESTER, MA 01610-2322
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2103
MA
390200000X
Student in an Organized Health Care Education/Training Program
RT004991
PA
Other
Enumeration date
10/21/2011
Last updated
01/22/2014
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