Individual
SAMANTHA KELLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AT, ATC
Contact information
Practice address
140 HILL ST STE B, BUCYRUS, OH 44820-1566
(614) 940-8678
Mailing address
361 MAPLEWOOD AVE, COLUMBUS, OH 43213-1732
(614) 940-8678
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT004481
OH
Other
Enumeration date
03/11/2017
Last updated
03/11/2017
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