Individual
MS. KELLY MARIE HOOTS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSAT, ATC, LAT
Contact information
Practice address
1200 MAIN ST, BETHLEHEM, PA 18018-6614
(610) 861-1320
Mailing address
1227 W 41ST ST, NORFOLK, VA 23508-2342
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
0126002186
VA
Other
Enumeration date
08/04/2014
Last updated
05/26/2016
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