Individual
KELSEY IVANCIC
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
2121 EUCLID AVE BLDG SB6, CLEVELAND, OH 44115-2214
(216) 687-4806
Mailing address
25731 DRAKEFIELD AVE, EUCLID, OH 44132-1847
(216) 534-0107
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT.003856
OH
Other
Enumeration date
01/11/2019
Last updated
01/11/2019
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