Individual
MAKAYLA AMBER KELLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7410 W STATE HIGHWAY 96, PUEBLO, CO 81005-9821
(720) 644-7015
Mailing address
7410 W STATE HIGHWAY 96, PUEBLO, CO 81005-9821
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
CO
Other
Enumeration date
09/16/2025
Last updated
09/16/2025
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